Adk Oceanside Operator, LLC
Organization Active NPI Skilled Nursing Facility · Tybee Island, GA
NPI 1619050432 · NPPES record last updated Jun 27, 2011
Key facts
- NPI
- 1619050432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1-0251696 (GA)
- Legal business name
- ADK OCEANSIDE OPERATOR, LLC
- Practice address
- 7 Rosewood Ave
Tybee Island, GA 31328-9435 - Phone
- (912) 786-4511
- Fax
- (912) 786-7414
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Carol Groeber
- Title
- Vice President/Mis
- Phone
- (937) 964-8974
Practitioners 1
-
Kenneth C. Fries, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1-0251696 | GA | Yes |
Addresses
Primary practice location
7 Rosewood Ave
Tybee Island, GA 31328-9435
Mailing address
7 Rosewood Ave
Tybee Island, GA 31328-9435
Phone (912) 786-4511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000142282A | Medicaid | GA |
Other names
- Oceanside Nursing & Rehab Center
Other providers in Tybee Island, GA
- Adk Savannah Beach Operator, LLC
- Lora Angelini
- Beach Medical LLC
- Charles Walker Beeson
- Amber Rose Brown
All providers in Tybee Island, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.