J1513, LLC

Skilled Nursing Facility · Largo, FL

Organization Active NPI

NPI number 1548985260

Practice location

3500 Oak Manor Ln
Largo, FL 33774-1211
Phone
(727) 581-9427

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NPI record

NPI
1548985260
Entity type
Organization (Type 2)
Enumeration date
October 5, 2022
Last updated
October 5, 2022
Certified
October 5, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

200 Clearwater Largo Rd S
Largo, FL 33770-3235
Phone
(727) 489-0857

Authorized official

Name
Mr. Kevin Ryan Rockefeller
Title
Manager
Phone
(904) 422-5231

About J1513, LLC

J1513, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 3500 Oak Manor Ln, Largo, FL 33774-1211. The NPI number 1548985260 was assigned on October 5, 2022 and the record was last updated on October 5, 2022.

The authorized official for this organization is Mr. Kevin Ryan Rockefeller, Manager.

Frequently asked questions

What is the NPI number of J1513, LLC?

The NPI number is 1548985260.

What is the phone number of J1513, LLC?

The phone number listed for the practice location is (727) 581-9427.

Where is J1513, LLC located?

3500 Oak Manor Ln, Largo, FL 33774-1211.

What is the taxonomy code for J1513, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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