<Unavail>

LBN: 4641 Old Canoe Creek Road Operations Llc
<Unavail> is an health care organization with primary practice located at 4641 Old Canoe Creek Rd , Saint Cloud FL 34769-1550. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 4641 Old Canoe Creek Road Operations Llc can be contacted via phone (407) 892-7344, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
4641 Old Canoe Creek Rd Saint Cloud FL 34769-1550
Phone: (407) 892-7344
Fax: (407) 892-5244
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF16340962 Florida

Profile Details

NPI number 1528337276
LBN Legal business name 4641 Old Canoe Creek Road Operations Llc
DBA Doing business as <Unavail>
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2011
Last updated Nov 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528337276 NPPES
Florida MEDICAID 004385300

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