Winchester Oaks Corporation

LBN: Winchester Oaks Corporation
Winchester Oaks Corporation is an health care organization with primary practice located at 871 Winchester St , Daytona Beach FL 32114-1977. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Winchester Oaks Corporation can be contacted via phone (386) 795-0353, or through Jackson, Cicely via phone (386) 759-0353.

Contact Information

Primary practice address
871 Winchester St Daytona Beach FL 32114-1977
Phone: (386) 795-0353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Cicely
Phone: (386) 759-0353

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1407468986
LBN Legal business name Winchester Oaks Corporation
DBA Doing business as
Authorized official Jackson, Cicely
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2020
Last updated Aug 17th, 2020 - about 4 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 1407468986 NPPES
Florida MEDICAID 000000000

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