3101 Ginger Drive Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12210961 Issued in FL

Legal business name

3101 GINGER DRIVE OPERATIONS LLC

Doing business as

Heritage Healthcare Center at Tallahassee

Practice address

3101 Ginger Dr
Tallahassee, FL 32308-4437

Phone

(850) 877-2177

Fax

(850) 942-1202

NPI assigned

Dec 29, 2011

Last updated

Nov 27, 2023By 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

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Healthcare Center at Tallahassee Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1902175417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GINGER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084437",
            "telephone_number": "850-877-2177",
            "fax_number": "850-942-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GINGER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084437",
            "telephone_number": "850-877-2177",
            "fax_number": "850-942-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3101 GINGER DRIVE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-28",
        "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": "SNF12210961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004383300",
            "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": "Heritage Healthcare Center at Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Healthcare Center at Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Tallahassee, FL
• Providers in Tallahassee, 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 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.