J1513, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

J1513, LLC

Doing business as

Oak Manor Senior Living Community

Practice address

3600 Oak Manor LN
Largo, FL 33774-1212

Phone

(727) 581-9427

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Ryan Rockefeller

Title

Ceo

Phone

(904) 422-5231

Specialties & licenses 1

Addresses

Other names 1

• Oak Manor Senior Living Community Doing business as

Tax ID family

J1513 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J1513, LLC

  • Skilled Nursing Facility
  • Largo, FL
  • NPI 1548985260
  NPD tax ID

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1215793641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLEARWATER LARGO RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703235",
            "telephone_number": "727-489-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OAK MANOR LN",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741212",
            "telephone_number": "727-581-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J1513, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "ROCKEFELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-422-5231"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Manor Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Its Our Independence Mobility Center Inc (Advanced Mobility Solutions)
• J. Carey Bonham DMD, PL (Bonham Dental Arts)
• J. Michael Stolley, D.C., P.a.
• J. Paonessa M.D. P.a. (Gulfcoast Oncology Associates)
• J. Paonessa M.D. P.a. (Gulfcoast Oncology Associates)
• J1513, LLC
• David Jabs
• Jackson Medical Supply, Inc
• Alizay Jackson
• Kelly Donald Jackson, DDS

• Assisted Living Facility in Largo, FL
• Providers in Largo, 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 Feb 23, 2024; 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.