SOUTHERN OAKS ALF
NPI 1558667279
Assisted Living Facility - Assisted Living, Mental Illness in Wauchula, FL

Active since January 27, 2011
157 WILL DUKES RD, WAUCHULA, FL 33873(863) 773-9557(863) 773-0764 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Southern Oaks Alf NPPES

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

SOUTHERN OAKS ALF (NPI 1558667279) is a healthcare organization registered as an assisted living, mental illness in Wauchula, Florida and active in the NPI registry since January 2011. The organization lists Sanny Prado Paningbatan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558667279
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSOUTHERN PARKS INC
Location Address157 WILL DUKES RDWauchula, FL 33873-9308
Mailing Address157 Will Dukes RdWauchula, FL 33873-9308 · (863) 773-9557 · Fax (863) 773-0764
Fax(863) 773-0764
Organization SubpartNo
Authorized OfficialSanny Prado PaningbatanAdministrator · (863) 773-9557
Enumeration DateJanuary 27, 2011
Last NPPES UpdateFebruary 16, 2011
NPI 1558667279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · AL7853
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
157 WILL DUKES RD, Wauchula, FL 33873

Other Names 1

Doing Business AsSouthern Oaks Alf

Other Identifiers 1

Medicaid140885200FL

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 Southern Parks Inc's NPI number?

The NPI number for Southern Parks Inc is 1558667279. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Southern Oaks Alf.

Where is Southern Parks Inc located?

Southern Parks Inc is located at 157 Will Dukes Rd, Wauchula, FL 33873. The listed phone number is (863) 773-9557.

What is Southern Parks Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Southern Parks Inc was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.