1001 Old Tomoka LLC
NPI 1538580923ActiveOrganization· Assisted Living Facility· Ormond Beach, FL
Assisted Living Facility in Ormond Beach, Florida, registered in NPPES in January 2014. The authorized official on file is Shoshana Sharon, Administrator.
Overview
| NPI | 1538580923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2014 |
| Last updated in NPPES | Jun 10, 2022 |
| Certified by provider | Jun 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 12175 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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