Orange Park Extended Care Llc in Fleming Island - Skilled Nursing Facility
Orange Park Extended Care Llc - NPI 1205805421
Orange Park Extended Care Llc is a Skilled Nursing Facility in Fleming Island, Florida. Orange Park Extended Care Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Orange Park Extended Care Llc is 1205805421. The last update date is 2012-06-12.
Orange Park Extended Care Llc's current location address is 1125 Fleming Plantation Blvd, Fleming Island, Florida. You can contact this provider via phone number 9045413500 and fax number 9042138338. The mailing address for Orange Park Extended Care Llc is 1125 Fleming Plantation Blvd, Fleming Island, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orange Park Extended Care Llc |
|---|---|
| Address | 1125 Fleming Plantation Blvd, Fleming Island, Florida |
| Phone Number | 9045413500 |
| Fax Number | 9042138338 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BOOKKEEPER |
|---|---|
| Authorized Official Name | Marsh J. Donna |
| Telephone Number | 3862551054 |
NPI Number Detail
| NPI Number | 1205805421 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
| Address | 1125 Fleming Plantation Blvd |
|---|---|
| City | Fleming Island |
| State | Florida (FL) |
| Post Code | 320033389 |
| Phone Number | 9045413500 |
| Fax Number | 9042138338 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 130471035 |
|
Definition: (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 serv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28478500 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Orange Park Extended Care Llc by the Centers for Medicare & Medicaid Services?
The Orange Park Extended Care Llc has been assigned the NPI (National Provider Identifier) 1205805421. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Orange Park Extended Care Llc is physically located?
The Orange Park Extended Care Llc is situated at the following address: 1125 Fleming Plantation Blvd, Fleming Island, FL 320033389.
What is Orange Park Extended Care Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Orange Park Extended Care Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205805421 to Orange Park Extended Care Llc?
The Centers for Medicare & Medicaid Services originally issued the 1205805421 to Orange Park Extended Care Llc on 2006-03-17.
When was the information related to Orange Park Extended Care Llc most recently updated or refreshed?
The details pertaining to the Orange Park Extended Care Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-12.