GOVERNOR'S CREEK HEALTH AND REHABILITATION
NPI 1356610091
Skilled Nursing Facility in Green Cove Springs, FL

Active since December 27, 2011
803 OAK ST, GREEN COVE SPRINGS, FL 32043(904) 284-5606(904) 284-0392 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Governor's Creek Health And Rehabilitation NPPES

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

GOVERNOR'S CREEK HEALTH AND REHABILITATION (NPI 1356610091) is a healthcare organization registered as a skilled nursing facility in Green Cove Springs, Florida and active in the NPI registry since December 2011. The organization lists Kenneth Ussery, Vp, as its authorized official.

NPPES Registry Identity

NPI1356610091
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name803 OAK STREET OPERATIONS LLC
Location Address803 OAK STGreen Cove Springs, FL 32043-4317
Mailing Address803 Oak StGreen Cove Springs, FL 32043-4317 · (904) 284-5606 · Fax (904) 284-0392
Fax(904) 284-0392
Organization SubpartNo
Authorized OfficialKenneth UsseryVp · (407) 571-1550
Enumeration DateDecember 27, 2011
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedApril 28, 2020
NPI 1356610091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF1181096
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
803 OAK ST, Green Cove Springs, FL 32043

Other Names 1

Doing Business AsGovernor's Creek Health And Rehabilitation

Other Identifiers 1

Medicaid004387500FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Geriatrics)
803 OAK ST, GOVERNORS CREEK HEALTH AND REHAB
GREEN COVE SPRINGS, FL 32043
Speech-Language Pathologist
803 OAK ST
GREEN COVE SPRINGS, FL 32043
Skilled Nursing Facility
803 OAK ST
GREEN COVE SPRINGS, FL 32043
Skilled Nursing Facility
803 OAK ST
GREEN COVE SPRINGS, FL 32043
Skilled Nursing Facility
803 OAK ST
GREEN COVE SPRINGS, FL 32043
Occupational Therapy Assistant
803 OAK ST
GREEN COVE SPRINGS, FL 32043
Physical Therapy Assistant
803 OAK ST
GREEN COVE SPRINGS, FL 32043
Occupational Therapy Assistant
803 OAK ST
GREEN COVE SPRINGS, FL 32043

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 803 Oak Street Operations LLC's NPI number?

The NPI number for 803 Oak Street Operations LLC is 1356610091. It was assigned to this organization in the NPPES registry on December 27, 2011. The provider is doing business as Governor's Creek Health And Rehabilitation.

Where is 803 Oak Street Operations LLC located?

803 Oak Street Operations LLC is located at 803 Oak St, Green Cove Springs, FL 32043. The listed phone number is (904) 284-5606.

What is 803 Oak Street Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for 803 Oak Street Operations LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.