OrganizationActive
3001 Palm Coast Parkway Operations LLC
NPI 1083983720 · Skilled Nursing Facility · Palm Coast, FL
Provider details
- NPI number
- 1083983720
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF130470968 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3001 Palm Coast Pkwy Se
Palm Coast, FL 32137-8209
Phone: (386) 446-6060
Fax: (386) 446-6033
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Palm Coast Pkwy Se
Palm Coast, FL 32137-8209
Other names (DBA / former)
- Doing business as
- Grand Oaks Health and Rehabilitation Center
- Doing business as
- Grand Oaks Health and Rehabilitation Center
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2023-11-27
- Certified
- 2020-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.