Shady Oaks Living Center
LBN: Shady Oaks Living Center
Shady Oaks Living Center is an health care organization with primary practice located at 2208 E 138Th Ave , Tampa FL 33613-4435. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Shady Oaks Living Center can be contacted via phone (813) 978-0819, or through Joseph, Joseph Wilfred via phone (813) 978-0819.
Contact Information
Primary practice address
2208 E 138Th Ave
Tampa FL 33613-4435
Phone: (813) 978-0819
Fax: (813) 425-6925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL 8450 | Florida |
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | AL 8450 | Florida |
Profile Details
| NPI number | 1699076703 |
|---|---|
| LBN Legal business name | Shady Oaks Living Center |
| DBA Doing business as | |
| Authorized official | Joseph, Joseph Wilfred |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2010 |
| Last updated | Nov 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699076703 | NPPES |
| Florida | MEDICAID | 140792900 |
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