11565 Harts Road Opco LLC
NPI 1194526731ActiveOrganization· Skilled Nursing Facility· Jacksonville, FL
Skilled Nursing Facility in Jacksonville, Florida, registered in NPPES in March 2025. The authorized official on file is Amitai Dagan, Coo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1194526731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2025 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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