RSC Hidden Oaks Fort Myers, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5531 Issued in FL

Legal business name

RSC HIDDEN OAKS FORT MYERS, LLC

Doing business as

Hidden Oaks

Practice address

3625 Hidden Tree LN
Fort Myers, FL 33901-8388

Phone

(786) 999-3711

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Geremy Jordan

Title

Ceo

Phone

(786) 999-3711

Specialties & licenses 1

Addresses

Other names 1

• Hidden Oaks Doing business as

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1215335914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 ADAMS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402929",
            "telephone_number": "786-999-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 HIDDEN TREE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018388",
            "telephone_number": "786-999-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSC HIDDEN OAKS FORT MYERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-999-3711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5531",
            "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 Myers, FL
• Providers in Fort Myers, 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 Dec 11, 2014; 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.