6700 NW 10TH Place Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF13690962 Issued in FL

Legal business name

6700 NW 10TH PLACE OPERATIONS LLC

Practice address

6700 NW 10TH PL
Gainesville, FL 32605-4213

Phone

(352) 331-3111

Fax

(352) 332-9232

NPI assigned

Dec 27, 2011

Organization subpart

No

Name

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

• North Florida Rehabilitation and Specialty Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1689943334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NW 10TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054213",
            "telephone_number": "352-331-3111",
            "fax_number": "352-332-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NW 10TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054213",
            "telephone_number": "352-331-3111",
            "fax_number": "352-332-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "6700 NW 10TH PLACE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13690962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004388000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Florida Rehabilitation and Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Florida Rehabilitation and Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.