Senior Care of Hidden Oaks Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5531 Issued in FL

Legal business name

SENIOR CARE OF HIDDEN OAKS OPERATOR LLC

Doing business as

Hidden Oaks

Practice address

3625 Hidden Tree Lane
Fort Meyers, FL 33901-8388

Phone

(239) 939-1393

Fax

(239) 939-1149

NPI assigned

Sep 6, 2007

Organization subpart

Yes

Parent organization

SENIOR CARE GROUP INCAs reported in NPPES

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

Authorized official

Name

Mr. R Daniel Vaughan

Title

Director of Operations

Phone

(813) 341-2700

Specialties & licenses 1

Addresses

Other names 1

• Hidden Oaks Doing business as

Part of

Senior Care Group

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1104011873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARBELLA PLAZA DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197906",
            "telephone_number": "813-341-2700",
            "fax_number": "813-651-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 HIDDEN TREE LANE",
            "city": "FORT MEYERS",
            "state": "FL",
            "postal_code": "339018388",
            "telephone_number": "239-939-1393",
            "fax_number": "239-939-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OF HIDDEN OAKS OPERATOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CARE GROUP INC",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-341-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Meyers, FL
• Providers in Fort Meyers, 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 Sep 6, 2007; 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.