Oak Creek Cottage, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

OAK CREEK COTTAGE, LLC

Practice address

13545 78TH PL N
West Palm Beach, FL 33412-2132

Phone

(561) 818-5760

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Atkinson, CRNA

Title

Director/Owner

Phone

(561) 818-5760

Specialties & licenses 2

Addresses

Other names 2

• The Stone House Doing business as
• The Stone House 2 Doing business as

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1376237685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 78TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122132",
            "telephone_number": "561-818-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13545 78TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122132",
            "telephone_number": "561-818-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK COTTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "561-818-5760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Stone House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Stone House 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George J. O'Neil Jr., M.D.
• Michaela O'Neil, LMHC
• Kathleen Megan O'Neill, D.C.
• Siu Ming Choi O'Neill, AP
• Terrence Michael O'Neill, IMH
• Oakwood Center of the Palm Beaches
• Oakwood Center of the Palm Beaches
• Oakwood Center of the Palm Beaches
• Oakwood Center of the Palm Beaches Inc
• Oanh Hoang OD LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.