Organization
1001 OLD TOMOKA LLC
Active
Other names
The Sarah House III
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA SHARON (ADMINISTRATOR)
(386) 453-1519
Entity
Organization
Contact information
Practice address
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174-5979
(386) 453-1519
Mailing address
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174-5979
(386) 453-1519
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12175
FL
Other
Enumeration date
01/02/2014
Last updated
06/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up