Orange Park Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ORANGE PARK NURSING LLC

Doing business as

The Palms Nursing and Rehab at Orange Park

Practice address

833 Kingsley Ave
Orange Park, FL 32073-4701

Phone

(904) 269-2610

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Sharpless

Title

Director of Accounting

Phone

(352) 874-6007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE PALMS NURSING AND REHAB AT ORANGE PARK Doing business as

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1720656390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 W LAKE MARY BLVD STE 1-F",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734701",
            "telephone_number": "904-269-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "SHARPLESS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "352-874-6007"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130817-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PALMS NURSING AND REHAB AT ORANGE PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orange Park Medical Center, Inc. (HCA Florida Orange Park Hospital)
• Orange Park Medical Center, Inc. (HCA Florida Royal Pines ER, a part of HCA Florida Orange Park Hospital)
• Orange Park Medical Center, Inc. (HCA Florida Orange Park Hospital)
• Orange Park MGT, LLC (Oak View Rehabilitation Center)
• Orange Park Neurosurgery P.L.
• Orange Park Opco LLC
• Orange Park Orthopaedic Associates, P.a.
• Orange Park Pediatric Associates, PA
• Orange Park Pharmacy Inc (Orange Park Pharmacy LTC)
• Orange Park Pharmacy Inc.

• Skilled Nursing Facility in Orange Park, FL
• Providers in Orange Park, 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 Jun 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.

Verify at the official NPI Registry.