Active NPI
One SP Investments LLC
- Assisted Living Facility (Mental Illness)
- Daytona Beach, FL
National Provider Identifier
1669061149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- ONE SP INVESTMENTS LLC
- Practice address
- 624 S Atlantic Ave
Daytona Beach, FL 32118-4510 - Phone
- (386) 258-5116
- Fax
- (386) 258-6147
- NPI assigned
- Jan 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ankur Shah
- Title
- Director
- Phone
- (321) 432-0675
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary | ||
| Psychiatric Residential Treatment Facility | 323P00000X |
Addresses
Primary practice location
624 S Atlantic Ave
Daytona Beach, FL 32118-4510
Mailing address
624 S Atlantic Ave
Daytona Beach, FL 32118-4510
Phone (386) 258-5116
Other names 1
- Ocean View Manor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1669061149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 S ATLANTIC AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184510",
"telephone_number": "386-258-5116",
"fax_number": "386-258-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 S ATLANTIC AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184510",
"telephone_number": "386-258-5116",
"fax_number": "386-258-6147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE SP INVESTMENTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "ANKUR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "321-432-0675"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ocean View Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.