Organization Active NPI

Ocean View Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • New Smyrna Beach, FL
National Provider Identifier
1447217997
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF13860961 Issued in FL
Legal business name
OCEAN VIEW NURSING & REHABILITATION CENTER LLC
Practice address
2810 S Atlantic Ave
New Smyrna Beach, FL 32169-3446
Phone
(386) 428-6424
Fax
(386) 428-0640
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
David Vining
Title
Administrator
Phone
(386) 428-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF13860961 FL Primary

Addresses

Primary practice location

2810 S Atlantic Ave
New Smyrna Beach, FL 32169-3446

Mailing address

2810 S Atlantic Ave
New Smyrna Beach, FL 32169-3446
Phone (386) 428-6424

Other identifiers 3

IdentifierTypeStateIssuer
022635100MedicaidFL
M47OtherFLBLUE CROSS PROVIDER NUMBE
Y016OtherFLFLORIDA HEALTHCARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1447217997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S ATLANTIC AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693446",
            "telephone_number": "386-428-6424",
            "fax_number": "386-428-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S ATLANTIC AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693446",
            "telephone_number": "386-428-6424",
            "fax_number": "386-428-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN VIEW NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-428-6424"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13860961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022635100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "M47",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE",
            "identifier": "Y016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.