OrganizationActive
1061 Virginia Street Operations LLC
NPI 1174892947 · Skilled Nursing Facility · Dunedin, FL
Provider details
- NPI number
- 1174892947
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF15100962 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1061 Virginia St
Dunedin, FL 34698-7326
Phone: (727) 733-4189
Fax: (727) 734-7651
Approximate (ZIP-level) locationGet directions
Mailing address
1061 Virginia St
Dunedin, FL 34698-7326
Other names (DBA / former)
- Doing business as
- Lakeside Oaks Care Center
- Doing business as
- Lakeside Oaks Care Center
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2023-11-27
- Certified
- 2020-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.