Organization · Type 2 NPI

803 Oak Street Operations LLC

Skilled Nursing Facility · Green Cove Springs, FL

NPI number 1356610091 Active

Practice location

803 Oak St
Green Cove Springs, FL 32043-4317

Fax (904) 284-0392

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF1181096 (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…

21 other providers at this address

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NPI record

NPI: 1356610091
Entity type: Organization (Type 2)
Issued: Dec 27, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Governor's Creek Health and Rehabilitation · doing business as
Governor's Creek Health and Rehabilitation · 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 1356610091

803 Oak Street Operations LLC's National Provider Identifier is 1356610091, issued on Dec 27, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Green Cove Springs, FL. The record was last updated on Nov 27, 2023.