Oaktree Healthcare

LBN: 650 Reed Canal Road Operations Llc
Oaktree Healthcare is an health care organization with primary practice located at 650 Reed Canal Rd , South Daytona FL 32119-3230. 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. 650 Reed Canal Road Operations Llc can be contacted via phone (386) 767-4831, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
650 Reed Canal Rd South Daytona FL 32119-3230
Phone: (386) 767-4831
Fax: (386) 767-8253
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 SNF1122096 Florida

Profile Details

NPI number 1336418086
LBN Legal business name 650 Reed Canal Road Operations Llc
DBA Doing business as Oaktree Healthcare
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 1336418086 NPPES
Florida MEDICAID 004384300

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