Organization Active NPI

West Palm Beach Facility Operations, LLC

  • Skilled Nursing Facility
  • West Palm Beach, FL
National Provider Identifier
1407879307
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF15950961 Issued in FL
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

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008043200MedicaidFL

Other names 1

  • Consulate Health Care of West Palm Beach Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0286476Consulate Health Care of West Palm Beach1626 Davis Road, West Palm Beach, FL 33406Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in West Palm Beach, FL

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.

Verify at the official NPI Registry.