Fairway Oaks Center

LBN: Fairway Oaks Center, Llc
Fairway Oaks Center is an health care organization with primary practice located at 13806 N 46Th St , Tampa FL 33613-4921. 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. Fairway Oaks Center, Llc can be contacted via phone (813) 977-4214, or through Ziolkowski, Jennifer Alise via phone (813) 558-6629.

Contact Information

Primary practice address
13806 N 46Th St Tampa FL 33613-4921
Phone: (813) 977-4214
Fax: (813) 977-4228
Website:
Map and Directions
Authorized official contact:
Name: Ziolkowski, Jennifer Alise MBA
Phone: (813) 558-6629

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1613096 Florida

Profile Details

NPI number 1285622209
LBN Legal business name Fairway Oaks Center, Llc
DBA Doing business as Fairway Oaks Center
Authorized official Ziolkowski, Jennifer Alise MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 12th, 2024 - about 2 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 1285622209 NPPES
Florida MEDICAID 026069000
Florida Other 71-00465
Florida Other M85
Florida Other C105305

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