OrganizationActive
4641 Old Canoe Creek Road Operations LLC
NPI 1528337276 · Skilled Nursing Facility · Saint Cloud, FL
Provider details
- NPI number
- 1528337276
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF16340962 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4641 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550
Phone: (407) 892-7344
Fax: (407) 892-5244
Approximate (ZIP-level) locationGet directions
Mailing address
4641 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550
Other names (DBA / former)
- Doing business as
- Plantation Bay Rehabilitation Center
- Doing business as
- Plantation Bay Rehabilitation Center
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2023-11-27
- Certified
- 2020-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.