Organization Active NPI

Hidden Oaks Alf, Inc

  • Non-emergency Medical Transport (VAN)
  • Jennings, FL
National Provider Identifier
1659955797
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HIDDEN OAKS ALF, INC
Practice address
7150 NW 22ND Dr
Jennings, FL 32053-2367
Phone
(386) 938-2097
Fax
(386) 487-0366
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Wanda M Law
Title
Owner
Phone
(386) 938-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

7150 NW 22ND Dr
Jennings, FL 32053-2367

Mailing address

PO Box 180
Jennings, FL 32053-0180
Phone (386) 938-2097

Other names 1

  • Hidden Oaks Transit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hidden Oaks Alf Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7150 NW 22nd Dr
Jennings, FL 32053
Phone (386) 938-2097

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1659955797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "JENNINGS",
            "state": "FL",
            "postal_code": "320530180",
            "telephone_number": "386-938-2097",
            "fax_number": "386-487-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 NW 22ND DR",
            "city": "JENNINGS",
            "state": "FL",
            "postal_code": "320532367",
            "telephone_number": "386-938-2097",
            "fax_number": "386-487-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN OAKS ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-938-2097"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Oaks Transit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.