Key West Nursing Home Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KEY WEST NURSING HOME OPCO LLC

Practice address

5860 College Rd
Key West, FL 33040-4314

Phone

(914) 548-7617

NPI assigned

May 5, 2020

Organization subpart

Yes

Parent organization

RED STONE MANOR INVESTMENTS LLCAs reported in NPPES

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

Authorized official

Name

Steven Bicky

Title

Manager

Phone

(914) 548-7617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1306467931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 NE 184TH WAY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602083",
            "telephone_number": "914-548-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 COLLEGE RD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404314",
            "telephone_number": "914-548-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST NURSING HOME OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED STONE MANOR INVESTMENTS LLC",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "BICKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-548-7617"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Key West, FL
• Providers in Key West, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.