OrganizationActive
11565 Harts Road Opco LLC
NPI 1194526731 · Skilled Nursing Facility · Jacksonville, FL
Provider details
- NPI number
- 1194526731
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amitai Dagan, Coo(732) 719-5098
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
11565 Harts Rd
Jacksonville, FL 32218-3777
Phone: (732) 719-5034
Approximate (ZIP-level) locationGet directions
Mailing address
338 Whitesville Rd
Jackson, NJ 08527-5091
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.