Palmer Oaks, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PALMER OAKS, LLC

Practice address

1525 Palmer Ave
Winter Park, FL 32789-2750

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": "1295346617",
    "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": "1525 PALMER AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892750",
            "telephone_number": "407-622-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER 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": "105489800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theoaksofwinterpark.com",
            "affiliation": "Y",
            "affiliationName": "Winter Park Elderly Services",
            "address_1": "1525 Palmer Ave",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327892750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dimitry Michael Palceski, D.O.
• Palm Coast Spine and Rehab Inc (same)
• Barbara Palma, LMFT
• Marni Hope Palma, PA
• Palmer Chiropractic and Wellness
• Ashley M Palmer, BCBA
• William Palmer, DC, AP
• Andrew Palmisano Sr., BCBA
• Pamela Rowe, Ma, CCC-SLP, LLC
• Jignesh Panchal

• 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.