15th Street East Snf Opco LLC
NPI 1619755691ActiveOrganization· Skilled Nursing Facility· Bradenton, FL
Skilled Nursing Facility in Bradenton, Florida, registered in NPPES in September 2023. The authorized official on file is Amitai Dagan, Authorized Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1619755691 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2023 |
| Last updated in NPPES | Sep 20, 2023 |
| Certified by provider | Sep 20, 2023 |
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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