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1001 Old Tomoka LLC

NPI 1942630462ActiveOrganization· Assisted Living Facility· Ormond Beach, FL

Assisted Living Facility in Ormond Beach, Florida, registered in NPPES in November 2013. The authorized official on file is Ofer Sharon, Manager.

Overview

NPI1942630462
StatusActive
Entity typeOrganization
NPI issuedNov 19, 2013
Last updated in NPPESNov 19, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000XAL12175FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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