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

Eagle Lake Rehab & Nursing, LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1174898605

Eagle Lake Rehab & Nursing, LLC is a Nursing Facility/Intermediate Care Facility in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
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

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence SNF15650961 (FL)

Record details

NPI number1174898605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Hebbeln — Cfo · (727) 723-3021
NPI enumeratedMarch 16, 2012
Last updated in NPPESApril 20, 2012
Mailing address1100 66th St N, St Petersburg, FL 33710-6224

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