Osceola St Cloud Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1505096 Issued in FL

Legal business name

OSCEOLA ST CLOUD LIMITED PARTNERSHIP

Doing business as

Southern Oaks Health Care Center

Practice address

3855 Old Canoe Creek Rd
Saint Cloud, FL 34769-6628

Phone

(407) 957-2280

Fax

(407) 957-5319

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Caryl Elizabeth Patterson

Title

Regional Field Auditor

Phone

(407) 221-6327

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Oaks Health Care Center Doing business as

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1902881253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696628",
            "telephone_number": "407-957-2280",
            "fax_number": "407-957-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696628",
            "telephone_number": "407-957-2280",
            "fax_number": "407-957-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA ST CLOUD LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CARYL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGIONAL FIELD AUDITOR",
        "authorized_official_telephone_number": "407-221-6327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1505096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025314600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oaks Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie A Ortiz
• Osceola County Health Dept
• Osceola Nursing and Rehabilitation Inc (Osceola Health Care Center)
• Osceola Regional Hospital, Inc. (HCA Florida Osceola East Emergency, a department of HCA Florida Osceola Hospital)
• Osceola SNF Operations LLC (Solaris Healthcare Osceola)
• Osceolasc LLC (St Cloud Regional Medical Center)
• Osceolasc LLC (St Cloud Regional Medical Center)
• Daniel Pabon, RT
• Norka Pacheco
• Nicol Pachon Pinilla

• Skilled Nursing Facility in Saint Cloud, FL
• Providers in Saint Cloud, 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 4, 2008; 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.