Organization · Type 2 NPI

4641 Old Canoe Creek Road Operations LLC

Skilled Nursing Facility · St. Cloud, FL

NPI number 1528337276 Active

Practice location

4641 Old Canoe Creek Rd
St. Cloud, FL 34769-1550

Fax (407) 892-5244

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF16340962 (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…

20 other providers at this address

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NPI record

NPI: 1528337276
Entity type: Organization (Type 2)
Issued: Dec 27, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Plantation Bay Rehabilitation Center · doing business as
Plantation Bay Rehabilitation Center · doing business as

Authorized official

Kenneth Ussery
VP
(407) 571-1550

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About NPI 1528337276

4641 Old Canoe Creek Road Operations LLC's National Provider Identifier is 1528337276, issued on Dec 27, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Cloud, FL. The record was last updated on Nov 27, 2023.