Organization Active NPI

Oakbridge Health Care Associates LLC

Doing business as Oakbridge Healthcare Center

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1841246329
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF13770961 Issued in FL
Legal business name
OAKBRIDGE HEALTH CARE ASSOCIATES LLC
Doing business as
Oakbridge Healthcare Center
Practice address
3110 Oakbridge Blvd E
Lakeland, FL 33803-5987
Phone
(863) 648-4800
Fax
(863) 646-9224
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Christopher S. Kmet
Title
Manager
Phone
(863) 648-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF13770961 FL Primary

Addresses

Primary practice location

3110 Oakbridge Blvd E
Lakeland, FL 33803-5987

Mailing address

3110 Oakbridge Blvd E
Lakeland, FL 33803-5987
Phone (863) 648-4800

Other identifiers 1

IdentifierTypeStateIssuer
025992600MedicaidFL

Other names 1

  • Oakbridge Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1841246329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 OAKBRIDGE BLVD E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035987",
            "telephone_number": "863-648-4800",
            "fax_number": "863-646-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OAKBRIDGE BLVD E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035987",
            "telephone_number": "863-648-4800",
            "fax_number": "863-646-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBRIDGE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "KMET",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-648-4800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13770961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025992600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakbridge Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.