Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Lake Foundation Inc

Organization Skilled Nursing Facility · NPI 1225046584

Eagle Lake Foundation Inc is a Skilled Nursing Facility in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 66th St N
St Petersburg, FL 33710-6224
Phone: (727) 345-9331
Fax: (727) 345-7064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF15650961 (FL)

Record details

NPI number1225046584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Hebbeln — Vp Of Acct & Finance · (727) 723-3000
Other names Eagle Lake Rehab & Care Center
NPI enumeratedAugust 3, 2006
Last updated in NPPESNovember 5, 2010
Mailing address24641 Us Highway 19 N, Clearwater, FL 33763-5007

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