Organization Active NPI

Mission Oaks Assisted Living

  • Assisted Living Facility
  • Oxford, FL
National Provider Identifier
1881019883
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11808 Issued in FL
Legal business name
MISSION OAKS ASSISTED LIVING
Practice address
10780 N US Highway 301
Oxford, FL 34484-3505
Phone
(352) 330-3900
Fax
(352) 330-3999
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Mr. Robert Mead
Title
Executive Director
Phone
(352) 330-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11808 FL Primary

Addresses

Primary practice location

10780 N US Highway 301
Oxford, FL 34484-3505

Mailing address

10780 N US Highway 301
Oxford, FL 34484-3505
Phone (352) 330-3900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2007882Mission Oaks Assisted Living10780 N US Hwy 301, Oxford, FL 34484Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1881019883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 N US HIGHWAY 301",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344843505",
            "telephone_number": "352-330-3900",
            "fax_number": "352-330-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 N US HIGHWAY 301",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344843505",
            "telephone_number": "352-330-3900",
            "fax_number": "352-330-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION OAKS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-330-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.