Palatka Lpoc, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PALATKA LPOC, LLC

Practice address

203 S Moody Rd
Palatka, FL 32177-3903

Phone

(386) 329-9905

Fax

(386) 329-9906

NPI assigned

Jan 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas E Mosely

Title

Executive Director

Phone

(386) 329-9905

Specialties & licenses 1

Addresses

Other names 1

• Vintage Care of Palatka Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1003521667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S MOODY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773903",
            "telephone_number": "386-329-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MOODY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773903",
            "telephone_number": "386-329-9905",
            "fax_number": "386-329-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALATKA LPOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MOSELY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-329-9905"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.mosely@vintagecareretire.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "address_1": "203 S Moody Rd",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321773903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vintage Care of Palatka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orlando Clinic for Asthma&Respiratory Disease
• Hezekiah George Owojuyigbe, M.D, M.P.H.
• Irena Maria Pacanowska-Assefa, MD
• Anthony J Pacitti, M.D.
• Alfredo A Pairot, DDS
• Palatka Nursing and Rehab Op LLC
• Palatka Physical Therapy LLC
• Palatka SNF Operations LLC
• Kiesha Lashawn Parkinson, RN
• Patrick J Harris D O P a

• Assisted Living Facility in Palatka, FL
• Providers in Palatka, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.