Bedrock Hcs at Daytona Fl LLC
NPI 1124656202ActiveOrganization· Skilled Nursing Facility· Daytona Beach, FL
Skilled Nursing Facility in Daytona Beach, Florida, registered in NPPES in April 2020. The authorized official on file is Esther Tillim, Controller. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1124656202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2020 |
| Last updated in NPPES | Feb 7, 2024 |
| Certified by provider | Feb 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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