Shady Oaks Rest Home Inc.

LBN: Shady Oaks Rest Home Inc.
Shady Oaks Rest Home Inc. is an health care organization with primary practice located at 1208 Kennedy Rd , Daytona Beach FL 32117. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Shady Oaks Rest Home Inc. can be contacted via phone (386) 253-6993, or through Ham, James via phone (386) 562-0870.

Contact Information

Primary practice address
1208 Kennedy Rd Daytona Beach FL 32117
Phone: (386) 253-6993
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ham, James
Phone: (386) 562-0870

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10293 Florida
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 10293 Florida

Profile Details

NPI number 1699036285
LBN Legal business name Shady Oaks Rest Home Inc.
DBA Doing business as
Authorized official Ham, James
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2012
Last updated Oct 27th, 2014 - about 11 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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