Sandalwood Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SANDALWOOD OPERATING LLC

Practice address

1001 S Beach St
Daytona Beach, FL 32114-6204

Phone

(386) 258-3334

NPI assigned

Jan 16, 2017

Last updated

Jan 16, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

SANDALWOOD HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Yosef Gerson

Title

Ar

Phone

(516) 592-3604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1619413572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BEACH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146204",
            "telephone_number": "386-258-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDALWOOD OPERATING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDALWOOD HOLDINGS LLC",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "GERSON",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "AR",
        "authorized_official_telephone_number": "516-592-3604"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archana Samynathan, MD
• Sanative Health Partners LLC
• Roynny Javier Sanchez Gil, MD, C-SA
• Jennifer Sanchez, MD
• Mary T Sanchez, MSW
• Sandeep V. Patel, DDS, PA
• Lauren M Sanders
• Benarah Sanford, APRN
• Quelisha Santana Gonzalez
• Kathleen Santi, MD

• Skilled Nursing Facility in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.