Active NPI
West Palm Beach Facility Operations, LLC
- Skilled Nursing Facility
- West Palm Beach, FL
National Provider Identifier
1407879307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF15950961
- Legal business name
- WEST PALM BEACH FACILITY OPERATIONS, LLC
- Practice address
- 1626 Davis Rd
West Palm Beach, FL 33406-5640 - Phone
- (561) 439-8897
- Fax
- (561) 439-4562
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Ussery
- Title
- VP
- Phone
- (407) 571-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF15950961 | FL | Primary |
Addresses
Primary practice location
1626 Davis Rd
West Palm Beach, FL 33406-5640
Mailing address
1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008043200 | Medicaid | FL |
Other names 1
- Consulate Health Care of West Palm Beach
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0286476 | Consulate Health Care of West Palm Beach | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1626 Davis Rd
#7305
West Palm Beach, FL 33406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1407879307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 DAVIS RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065640",
"telephone_number": "561-439-8897",
"fax_number": "561-439-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 DAVIS RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065640",
"telephone_number": "561-439-8897",
"fax_number": "561-439-4562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PALM BEACH FACILITY OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2023-11-27",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "USSERY",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "407-571-1550"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF15950961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008043200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "800 Concourse Pkwy S Ste 200",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327516148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Consulate Health Care of West Palm Beach",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Consulate Health Care of West Palm Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
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- West Palm Beach Family Doctors, Inc
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Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.