803 Oak Street Operations LLC
NPI 1356610091 · Skilled Nursing Facility · Green Cove Springs, FL
803 Oak Street Operations LLC is a Skilled Nursing Facility organization in Green Cove Springs, FL (NPI 1356610091).
Provider details
- NPI number
- 1356610091
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF1181096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Governor'S Creek Health and Rehabilitation
- Doing business as
- Governor'S Creek Health and Rehabilitation
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2023-11-27
- Certified
- 2020-04-28
Frequently asked questions
- What is 803 Oak Street Operations LLC's NPI number?
- 803 Oak Street Operations LLC's National Provider Identifier (NPI) is 1356610091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 803 Oak Street Operations LLC?
- 803 Oak Street Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 803 Oak Street Operations LLC located?
- 803 Oak Street Operations LLC's practice location on file with NPPES is 803 Oak St, Green Cove Springs, FL 32043-4317.
- What is 803 Oak Street Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 803 Oak Street Operations LLC is (904) 284-5606.
- Who is the authorized official for 803 Oak Street Operations LLC?
- The authorized official listed on 803 Oak Street Operations LLC's NPPES record is Kenneth Ussery, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 803 Oak Street Operations LLC's NPI active?
- Yes — 803 Oak Street Operations LLC's NPI (1356610091) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.