SARAH HOUSE IV (THE)
NPI 1336536754
Assisted Living Facility in Ormond Beach, FL

Q: What is 30 Forest Ct, LLC's NPI number?

The NPI number for 30 Forest Ct, LLC is 1336536754. It was assigned to this organization in the NPPES registry on April 23, 2015. The provider is doing business as Sarah House IV (the).

Q: What is 30 Forest Ct, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for 30 Forest Ct, LLC was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2015

30 FOREST CT, ORMOND BEACH, FL 32174(386) 872-7797(877) 473-1219 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sarah House Iv (the) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH HOUSE IV (THE) (NPI 1336536754) is a healthcare organization registered as an assisted living facility in Ormond Beach, Florida and active in the NPI registry since April 2015. The organization lists Shoshana Sharon, Owner, as its authorized official.

NPPES Registry Identity

NPI1336536754

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business Name30 FOREST CT, LLC

Location Address30 FOREST CTOrmond Beach, FL 32174-8471

Mailing Address30 Forest CtOrmond Beach, FL 32174-8471 · (386) 872-7797 · Fax (877) 473-1219

Phone(386) 872-7797

Fax(877) 473-1219

Organization SubpartNo

Authorized OfficialShoshana SharonOwner · (386) 872-7871

Enumeration DateApril 23, 2015

Last NPPES UpdateJune 10, 2022

NPPES CertifiedJune 10, 2022

✔ NPI 1336536754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL12649

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

30 FOREST CT, Ormond Beach, FL 32174

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Other Names 1

Doing Business AsSarah House Iv (the)

Other Identifiers 1

OtherAL12649FL · Ahca License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 30 Forest Ct, LLC's NPI number?

The NPI number for 30 Forest Ct, LLC is 1336536754. It was assigned to this organization in the NPPES registry on April 23, 2015. The provider is doing business as Sarah House IV (the).

Where is 30 Forest Ct, LLC located?

30 Forest Ct, LLC is located at 30 Forest Ct, Ormond Beach, FL 32174. The listed phone number is (386) 872-7797.

What is 30 Forest Ct, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for 30 Forest Ct, LLC was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.