Organization Active NPI

Hobe Sound Opco LLC

  • Assisted Living Facility
  • Hobe Sound, FL
National Provider Identifier
1457738908
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HOBE SOUND OPCO LLC
Practice address
9555 SE Federal Hwy
Hobe Sound, FL 33455-2009
Phone
(386) 255-1054
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Cameron Marsh
Title
Corporate Finance
Phone
(386) 255-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FL Primary

Addresses

Primary practice location

9555 SE Federal Hwy
Hobe Sound, FL 33455-2009

Mailing address

480 Fentress Blvd
Suite H
Daytona Beach, FL 32114-1238

Other identifiers 1

IdentifierTypeStateIssuer
014804200MedicaidFL

Other names 1

  • Hobe Sound Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1457738908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FENTRESS BLVD",
            "address_2": "SUITE H",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334552009",
            "telephone_number": "386-255-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBE SOUND OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CORPORATE FINANCE",
        "authorized_official_telephone_number": "386-255-1054"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014804200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobe Sound Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.