OrganizationActive
Senior Care of Hidden Oaks Operator LLC
NPI 1104011873 · Assisted Living Facility · Fort Meyers, FL
Provider details
- NPI number
- 1104011873
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Senior Care Group Inc
- Organization subpart
- Yes
- Authorized official
- R Vaughan, Director of Operations(813) 341-2700
- License
- 5531 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3625 Hidden Tree Lane
Fort Meyers, FL 33901-8388
Phone: (239) 939-1393
Fax: (239) 939-1149
Street-level locationGet directions
Mailing address
1240 Marbella Plaza Drive
Tampa, FL 33619-7906
Other names (DBA / former)
- Doing business as
- Hidden Oaks
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2007-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.