Organization · Type 2 NPI

3001 Palm Coast Parkway Operations LLC

Skilled Nursing Facility · Palm Coast, FL

NPI number 1083983720 Active

Practice location

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209

Fax (386) 446-6033

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF130470968 (FL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1083983720
Entity type: Organization (Type 2)
Issued: Dec 27, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Grand Oaks Health and Rehabilitation Center · doing business as
Grand Oaks Health and Rehabilitation Center · doing business as

Authorized official

Kenneth Ussery
VP
(407) 571-1550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083983720

3001 Palm Coast Parkway Operations LLC's National Provider Identifier is 1083983720, issued on Dec 27, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Palm Coast, FL. The record was last updated on Nov 27, 2023.