Hibiscus Oaks, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HIBISCUS OAKS, LLC

Practice address

1385 Hibiscus Ave
Winter Park, FL 32789-1611

Phone

(407) 622-5076

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Brown

Title

Administrator

Phone

(407) 252-6408

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1043821564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 ALABAMA DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892648",
            "telephone_number": "407-622-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 HIBISCUS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891611",
            "telephone_number": "407-622-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS OAKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-252-6408"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105490300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theoaksofwinterpark.com",
            "affiliation": "Y",
            "affiliationName": "Winter Park Elderly Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1385 Hibiscus Ave",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327891611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Herriet V Tupas Levitan MD PA
• Mark Kelland Herschel, M.D.
• Margaret Hervey
• Megan Hession, LMHC
• Denise Hester
• Tyler Douglas Hickerson, CNIM
• Mackenzie Alexandra Hicks Harwood, MA
• Kailey Hicks
• Jorge Hidalgo, LCSW
• Marjorie Rene Hider, LMHC

• Assisted Living Facility in Winter Park, FL
• Providers in Winter Park, 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 Nov 27, 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.