Medicaid Number. Provider Name

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1 Medicaid Number Provider Name July 1, 2003 Medicaid Per Diem Bon Secours - Maria Manor Hollywood Hills Nursing Home Westminster Oaks Floridean Nursing Home Greynolds Park Manor Hebrew Home South Beach Miami Jewish Home and Hospital Island Lake Center Pines Nursing Home All Saints Catholic Nursing Home & Rehab Eartha M. M. White Nursing Home River Garden Hebrew Home Avante Villa at Jacksonville Beach IHS - Clearwater Memorial Manor Nursing Home Gulf Coast Village Indian River Center The Home Association Heartland HCC - Jacksonville The Manors at Hobe Sound Heartland HCC - Lauderhill Mary Lee Depugh Nursing Center Guardian Care Nursing & Rehab Center Westchester Gardens Rehabilitation/Care Center Lakeshore Nursing Home Putnam Memorial Nursing Home Heartland HCC - Orange Park Boca Raton Rehabilition Center Manor Care - Carrollwood The Rohr Home Okeechobee Health Care Facility Bishop W. M. Hargrave Health Care Center Samantha R. Wilson at Bayview J.H. Floyd Sunshine Manor Pines of Sarasota Sunnyside Nursing Home Manor Care - Palm Harbor Good Samaritan Center Alliance Nursing Center Mt. Sinai - St. Francis Nursing & Rehab Heartland of Miami Lakes Miracle Hill Nursing & Convalescent Center Avante At Leesburg Hampton Court Nursing Center Kensington Manor Villa Maria Nursing & Rehab Glades Health Care Center Avante At Inverness Avante At Lake Worth

2 Medicana Nursing Center The Palace At Kendall Nursing & Rehab Timber Ridge Nursing & Rehab Center Marianna Convalescent Center Darcy Hall Life Care Center Heartland HCC - Fort Meyers Carpenter's Home Estates Perdue Medical Center John Knox Village of FL Westminster Asbury Towers Oak Bluffs Health Center Westminster Shores Cypress Village Lisenby on Lake Caroline Mease Continuing Care Human Resources Health Center Regents Park Of Boca Raton Heartland HCC - Boynton Beach Olds Hall Good Samaritan Center Plaza Nursing & Rehab Center Taylor Home For The Aged Abbiejean Russell Care Center Tri-County Nursing Home Broward Children's Center Health Central Park Manor Care - Winter Park IHS - Gainesville Heartland HCC - Prosperity Oaks Hebrew Home for the Aged - North Dade St. Catherine Laboure Manor Kissimmee Good Samaritan Nursing Center American Finnish Nursing Home Life Care Center of Punta Gorda Heartland HCC - South Jacksonville Abbey Delray North Orlando Lutheran Towers St. John's Nursing Center Lourdes-Noreen Mckeen Residence Sunbelt Living Center - East Orlando Suwannee Valley Nursing Center Morton Plant Rehabilitation Center St. Andrews Estates North Bridgeview Center Health Care Center at the Waterford Seminole Nursing Pavilion Abbey Delray South IHS - Pinellas Park Colonnade Medical Center Oakwood Center Riverside Care Center Joseph L. Morse Geriatric Center Taylor Care Center

3 Sunrise Health & Rehab Center IHS - Auburndale Lakeside Health Center Hialeah Convalescent Home Key West Convalescent Center Ponce De Leon Care Center Manor Care - Naples Evergreen Woods Health & Rehab Florida Club Care Center Manor Care - Boca Raton Florida Living Nursing Center Manor Care - Boynton Beach Sunbelt Living Center - Orlando Menorah Manor Jupiter Convalescence Pavilion Claridge House Westminster Towers Manor Care - Sarasota Manor Care - Plantation SunBridge - Bradenton Baptist Manor IHS - Tarpon Springs Plantation Key Convalescent Center Carrollwood Care Center IHS - Lake Worth Courtenay Springs Village IHS - Sarasota Pavilion Westminster Asbury Manor St. Anne's Nursing Center Bishop's Glen Health Care Center Bon Secours - St. Joseph Nursing & Rehab Ctr St. Johns Health Care Center Winter Park Towers Sun Terrace Health Care Center Marathon Manor Coquina Center Meadowview Life Center Life Care Center of Altamonte Springs Covenant Village Care Center John Knox Village of Central Florida, Inc John Knox Village Medical Center Azalea Trace Sunbelt Living Center - Apopka LRMC Nursing Center Village On The Isle, Inc Henry I Loutitt HCC SunBridge - The Palm Beaches Health Park Care Center Mariner Health of Titusville Miami Gardens Care Center Avante At Boca Raton Edgewater at Waterman Village

4 Lake Wales Medical Center - ECF Brighton Gardens of Port St. Lucie Emory L. Bennett Veterans N.H. of Florida Lake City Extended Care Center Stratford Court at Palm Harbor Sabal Palms Health Care Center Heartland HCC - Sunrise Stratford Court at Boca Pointe Regents Park of Jacksonville Regents Park of Winter Park W. Frank Wells Nursing Home West Gables Health Care Center Oakwood Park Su Casa Mariner Health of Boynton Beach Mariner Health of Palm City Tyrone Medical Inn Huntington Place Rehab & Nursing Center The Alhambra Nursing Home Dunedin Care Center Mariner Health of Port Orange, Inc Mariner Health of Orange City Hardee Manor Care Center The Nursing Center At Mercy IHS - Fort Pierce IHS - Vero Beach Life Care Center of Citrus County Gulf Coast Nursing & Rehab Heartland HCC - Brooksville Heartland HCC - Kendall Delta Health Care Center - Destin Mariner Health of Pinellas Point Hawthorne Care Center Mariner Healthcare Services Heartland HCC - Pasadena The Abbey Rehab Center Jacaranda Manor Highland Pines Rehab Center Casa Mora Rehab & Extended Care The Court At Palm-Aire North Broward Rehab & Nursing Brighton Gardens of West Palm Beach Community Convalescent Center Pompano Rehabilitation & Nursing Winkler Court Heartland HCC - Zephyrhills Rosewood Manor Panama City Nursing Center Plaza West Lake Park of Madison Brighton Gardens - Maitland Mariner Health of Tuskawilla Mariner Health of Inverness

5 Carnegie Gardens Nursing Center Palm Beach County Home Mariner Health of Metrowest Lakeview Terrace Mariner Health of Deland Westminister Woods on Julington Creek Mariner Health of Macclenny Homestead Manor Bon Secours Venice NCC Mariner Health of Atlantic Shores Ybor City Healthcare & Rehab Center Glencove Nursing Pavilion Alachua Nursing Center Dove Healthcare At Lake Wales Chipola Nursing Pavilion Oakview Rehabilitation & Care Center Mariner Health of St. Augustine Manor Care Health Services - West Palm Beach Mariner Health of Bonifay Mariner Health Of Palmetto The Fountains Nursing Home Mariner Health Of Winter Haven Mariner Health of Tallahassee Manor Care - Lely Palms Manor Care - Dunedin Lakeside Terrace Nursing Center Mariner Health of Clearwater Mariner Health at Conway Lakes Life Care Center of Orange Park Woodland Terrace Extended Care Center Southern Pines Nursing Center Golfview Nursing Home Cedar Hills Nursing and Rehab Center Suncoast Manor Golfcrest Nursing Home Mariner Health of Jacksonville Oceanside Extended Care Center Zephyr Haven Nursing Home Mariner Health of Port Charlotte Florida Lutheran Retirement Center Palmetto SubAcute Care Center Good Samaritan Nursing Home University Center West Tarpon Bayou Center Heartland HCC - Tamarac Lakeland Hills Center University East Center The Groves Center Egret Cove Center Emerald Coast Center Clearwater Center Florida Presbyterian Homes

6 Bay Center Bartow Center Boca Ciega Center Coral Reef Nursing & Rehab Center Delta Health Care Center - Tampa Tamarac Rehab & Health Center Highlands Lake Center Manor Care - Venice Waters Edge Extended Care Life Care Center of Wells Crossing Lafayette Health Care Center Sunbridge Care & Rehab. for Southpoint The Springs At Boca Ciega Bay The Springs At Lake Pointe Woods Ruleme Center Royal Care of Avon Park Plantation Gardens Rehab & Nursing Fairway Oaks Center Tierra Pines Center Brighton Gardens - Venice The Riverwood Center Life Care Center Of Orlando Madison Nursing Center Oakbrook of Labelle Oaks Of Kissimmee Flagler Pines Manor on the Green Halifax Convalescent Center Oakwood Garden of Deland Debary Manor Tandem Health Care of West Palm Beach Tandem Health Care Of New Port Richey Tandem Health Care of Vero Beach Tandem Heath Care of Lakeland Tandem Health Care of Fort Myers Crystal Oaks of Pinellas Mariner Health of Hunter's Creek Lutheran Haven The Huntington Sunbelt Healthcare Center of Zephyrhills Lakeside Village Arch Plaza Nursing Home Bayside Manor Bay Breeze Nursing & Retirement Center Lake Eustis Care Center Windsor Manor Shady Rest Care Pavilion Specialty Center of Pensacola Silvercrest Manor Tallahassee Memorial Healthcare SNF Manor Care - Delray Beach New Riviera Health Resort

7 Jefferson Nursing Center Pine Lake Nursing Home Gramercy Park Nursing Center Miami Shores Nursing & Rehab Center Marion House Health Care Center Life Care Center of Hilliard Brighton Gardens - Naples Royal Manor Lake Placid Heritage Park Salerno Bay Longwood Health Care Center Maitland Health Care Center Southlake Nursing & Rehab Center Tandem Healthcare of Miami Baldomero Lopez State Veteran's Nursing Home Waldemere Place Margate Health Care Center Avalon Health & Rehab Osprey Point Nursing Center Emerald Healthcare Harbour's Edge College Harbor Bay Crest Nursing Center IHS - Braden River Terra Vista Rehab & Health Center Crystal River Health & Rehab Center Ocala Health & Rehab Center West Melbourne Health & Rehab Center St. Augustine Health & Rehab Center Daytona Beach Health & Rehab Life Care Center of Port St. Lucie Osceola Health Care Center Mariner Health of Tampa Alliance Wellcare Lakeshore Villas Health Care Center IHS - Jacksonville Coral Gables Convalescent Center Blountstown Health & Rehab Boynton Health Care Center Rehab & Health Care Center of Cape Coral Life Care Center of Winter Haven Regency House Skilled Nursing Facility Watercrest Care Nursing & Rehab Center Brighton Gardens - Tampa Advanced Health & Rehab Services of Clearwater Terraces at Lake Worth Palmetto Health Center Shore Acres Nursing Home Freedom Village Nursing Center Century Care Center Santa Rosa Convalescent Center

8 Sandy Ridge Care Center Westminster Care of Clermont Calusa Harbor by Marriott Westminster Care of Delaney Park Grace Healthcare of Clewiston Ponce Plaza Nursing & Rehab Center Health & Rehab Center at Dolphins View Regents Park at Aventura Tandem Healthcare of West Altamonte Tandem Healthcare of Tallahassee Manor Care of Fort Myers Westminster Care of Orlando Tandem Healthcare of Brandon Tandem Health Care of Melbourne Suwannee Health Care Center Tandem Healthcare of Pensacola Life Care Center of Sarasota Avante at Orlando Doctor's Lake of Orange Park Tandem Health Care at Lake Parker Horizon Healthcare - Daytona Pensacola Health Care Facility Madison Pointe Haines City Health Care Center Adventist Care Centers - Courtland Cross City Rehab & HCC South Tampa Health & Rehabilitation Center Jupiter Care Center M-K of North Port Westwood Health Care Center Cross Key Manor Victoria Nursing & Rehab. Center Quality Health Care Center - Fernandina Beach The Aristocrat Quality Health Of Orange County Atrium Care & Rehab Ctr Springtree Rehab & Healthcare Center Excel Rehab & Nursing Center Pinecrest Convalescent Center Stuart Nursing & Restorative Care Center Port St. Lucie Nursing & Restorative Care Center Plantation Nursing & Rehab Center Palatka Health Care Center Martin Nursing & Restorative Care The Manor At Blue Water Bay Cathedral Convalescent Center Bayonet Point Health & Rehabilitation Center West Broward Care Center Health Center of Lake City Charlotte Harbor Healthcare Broward Nursing & Rehab Center The Health Center of Plant City

9 Ocean View Nursing & Rehab Center South Heritage Health & Rehab Imperial Health Care Center IHS of Greenbriar Tandem Healthcare of Sarasota Tandem Healthcare of Port Charlotte Tandem Healthcare of Bayonet Point Health Center of Coconut Creek Tandem Healthcare of Safety Harbor Treasure Isle Care Center Tandem Health Care of Winter Haven Tandem Healthcare of St. Petersburg Tandem Health Care of Orange Park Tandem Health Care of Jacksonville The Health Center of Merritt Island Healthcare & Rehabilitation Center of Sanford Windsor Woods Convalescent Center Rehab & Healthcare Center of Tampa Fair Havens Center, LLC Alpine Health & Rehab Center Unity Health & Rehab Center Lady Lake Specialty Care Center Palm Court Nursing & Rehab Rockledge Health & Rehab Tandem Health Care of Kissimmee Greenbriar Rehab & Nursing Apollo Health and Rehab. Center North Rehabilitation Center Colonial Care Center Liberty Inn Titusville Rehab & Nursing Center Park Meadows Health & Rehabilitation Center New Horizons Rehabilitation Center First Coast Health & Rehab Grace Healthcare of Lakeland Grace Healthcare of St. Petersburg Ayers Health & Rehabilitation Center Ocoee Health Care Center Hallandale Rehab Center Palm Beach Nursing & Rehabilitation Heritage Nursing & Rehab Center Saint Andrews Health & Rehabilitation Center Alterra Healthcare Palmer Ranch Ft. Lauderdale Health & Rehabilitation Center BayWood Nursing Center The Gardens Court Life Care Center of Melbourne Coquina Key Health & Rehab Park Ridge Nursing Center Rehab Center of the Palm Beaches Emerald Pointe Susanna Wesley Health Center

10 The Oaks at Avon Bear Creek Nursing Center Royal Oak Nursing Center GraceWood Nursing Center Heather Hill Nursing Center INN AT SARASOTA BAY CLUB OakWood Nursing Center Winter Haven Health & Rehab Center Woodland Terrace of Citrus County East Ridge Retirement Village The Health Center of Windermere Parkway Health & Rehabilitation Center IHS - Northern Jacksonville Fountainhead Care Center Berkshire Manor Cypress Cove Care Center Brooksville Healthcare Center Lake Harris Health Center Harbour Health Center The Health Center of Daytona Beach Sylvan Health Center Shell Point Nursing Pavilion Parthenon Healthcare of Ft. Walton Gainesville Health Care Center St. Cloud Health & Rehab Center The Health Center of Pensacola Lago Vista Menorah House Desoto Health & Rehab Alexander Nininger State Veterans Nursing Home SouthWood Nursing Center Hialeah Shores Nursing & Rehab Parthenon Healthcare of Blountstown Parthenon Healthcare of Crestview Bay Pointe Nursing Pavilion Brandywyne Health Care Center HarbourWood Nursing Center Concordia Manor Oakhurst Rehab & Nursing Center Bradford Terrace Nursing Center Woodbridge Nursing & Rehab Center Avante at Melbourne Avante at Ormond Beach Avante at Mt. Dora Beauclerc Manor Bradenton Health Care Brandon Health & Rehab Center Capital Healthcare Center Coral Trace Health Care Countryside Healthcare Center University Hills Health & Rehab Cypress Community Care Center

11 Deltona Health Care Center Destin Healthcare & Rehab Center Heron Pointe Health & Rehab Magnolia Health and Rehabilitation Center Emerald Shores Health & Rehab Englewood Healthcare and Rehab Evans Health Care Fletcher Health & Rehab Center Ft. Pierce Health Care Sea Breeze Health Care Harbor Beach Care Center Health Center at Brentwood Heritage Health Care Center - Venice Heritage Health Care Center - Naples Heritage Health Care Center Donegan Rehabilitation & Health Center Lake Mary Health & Rehab Center Wedgewood Healthcare Center Largo Health Care Center Lee Convalescent Center Island Health & Rehab Center North Florida Rehab & Specialty Care Center Shoal Creek Rehabilitation Center Governor's Creek Health & Rehab Palms Rehab & Healhcare Center Grand Oaks Health & Rehab Center Hart's Harbor Health Care Center Marshall Health & Rehab Center Sea View Nursing & Rehab Center Plantation Bay Rehab Center Rio Pinar Health Care Rosewood Health & Rehabilitation Center Oaktree Healthcare Edinborough Health Care Center Spring Hill Health & Rehab Center Habana Health Care Center Tarpon Health & Rehab Center Vista Manor Hillcrest Nursing & Rehabilitation Center West Palm Beach Rehab & Specialty Center Colonial Lakes Health Care Sarasota Health Care Center Pinebrook Pavilion Rehab and Nursing Center Palms of Sebring Orchard Ridge Rehab & Nursing Center Leesburg Health & Rehab Springwood Rehab & Nursing Center Southern Oaks Health Care Life Care Center of Ocala Riverchase Care Center Palms at Park Place, The Sunset Point Rehab & Nursing Center

12 Bay Tree Rehab & Nursing Center Surrey Place Health & Rehabilitation West Bay Rehab & Nursing Center Wuesthoff Progressive Care Center The Forum At Deer Creek Eden Springs Nursing & Rehab Center Freedom Square Nursing Center Jackson Plaza Nursing & Rehab Brynwood Center Park Summit at Coral Springs Manor Pines Convalescent Center Wright's Nursing & Rehabilitation Center Edgewood Nursing Center Cross Pointe Care Center Renova Health Center Ormond Beach Care & Rehab Center Woodlands Care Center of Alachua Woodlands Care Center of Alachua Courtyard at the Millpond Brookwood Gardens Convalescent Center Jackson County Convalescent Center Waterford Convalescent Center Washington County Convalescent Center Walton County Convalescent Center Glen Oaks Health Care Center Surrey Place - Lecanto Surrey Place Convalescent Center - Bradenton William & Mary Nursing Home Venice Nursing Pavilion Courtyards of Orlando Lakeside Nursing& Rehab Center Lakeside Rehab & Nursing Center Manor Oaks Nursing & Rehabilitation Center Surrey Place Care Center Sutton Place Care Center Palm Garden of Port St Lucie Palm Gardens of West Palm Beach Palm Garden of Gainesville Palm Garden of Jacksonville Palm Garden of Ocala Palm Garden of Orlando Palm Garden of Vero Beach Palm Garden Of Winter Haven Citrus Health and Rehabilitation Center Palm Garden of Clearwater Palm Garden of Largo Palm Garden of North Miami Palm Garden of Pinellas Palm Garden of Sun City Palm Garden of Tampa Orange Park Care & Rehabilitation Center Palm Bay Care and Rehabilitation Center

13 Port Charlotte Care & Rehabilitation Center Winter Park Care and Rehabilitation Center Fort Myers Care and Rehabilitation Center Sebring Care and Rehabilitatioin Center Oak Manor Nursing Center Mariner Health of Melbourne Mariner Health of Port St. Lucie Indigo Manor Carrington Place Care Center Heritage Park Care & Rehabilitation Center Haven of Our Lady of Peace Life Care Center of Inverrary Heritage of Santa Rosa LIfe Care Center of New Port Richey Nursing Center at University Village Ridge Terrace Health Center Beneva Lakes Healthcare and Rehab Center Central Park Healthcare and Rehab Center Coral Bay Healthcare & Rehab Oakbridge Healthcare Center The Parks Healthcare and Rehab Center Riverfront Nursing & Rehab Boulevard Manor Nursing Home Mariner Health of Bellaire Bay St. Joseph Care & Rehabilitation Center Southern Oaks