The Terrace At Fleming Island

LBN: Orange Park Extended Care Llc
The Terrace At Fleming Island is an health care organization with primary practice located at 1125 Fleming Plantation Blvd , Orange Park FL 32003-3389. 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. Orange Park Extended Care Llc can be contacted via phone (904) 245-7620, or through Marsh, Donna J. via phone (386) 255-1054.

Contact Information

Primary practice address
1125 Fleming Plantation Blvd Orange Park FL 32003-3389
Phone: (904) 245-7620
Fax: (904) 213-8338
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Donna J.
Phone: (386) 255-1054

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 130471035 Florida

Profile Details

NPI number 1205805421
LBN Legal business name Orange Park Extended Care Llc
DBA Doing business as The Terrace At Fleming Island
Authorized official Marsh, Donna J.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 12th, 2012 - about 12 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 1205805421 NPPES
Florida MEDICAID 028478500

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