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SHADY OAKS REST HOME INC.
NPI 1699036285
Assisted Living Facility in Daytona Beach, FL

Active since May 31, 2012
1208 KENNEDY RD, DAYTONA BEACH, FL 32117(386) 253-6993 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Oaks Rest Home Inc. NPPES

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

SHADY OAKS REST HOME INC. (NPI 1699036285) is a healthcare organization registered as an assisted living facility in Daytona Beach, Florida and active in the NPI registry since May 2012. The organization lists James Ham, Manager, as its authorized official.

NPPES Registry Identity

NPI1699036285
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHADY OAKS REST HOME INC.
Location Address1208 KENNEDY RDDaytona Beach, FL 32117
Mailing Address1208 Kennedy RdDaytona Beach, FL 32117 · (386) 253-6993
Phone(386) 253-6993
Organization SubpartNo
Authorized OfficialJames HamManager · (386) 562-0870
Enumeration DateMay 31, 2012
Last NPPES UpdateOctober 27, 2014
✔ NPI 1699036285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in FL · 10293✔ Licensed in FL · AL10293
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.
1208 KENNEDY RD, Daytona Beach, FL 32117
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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 Shady Oaks Rest Home Inc.'s NPI number?

The NPI number for Shady Oaks Rest Home Inc. is 1699036285. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Shady Oaks Rest Home Inc. located?

Shady Oaks Rest Home Inc. is located at 1208 Kennedy Rd, Daytona Beach, FL 32117. The listed phone number is (386) 253-6993.

What is Shady Oaks Rest Home Inc.'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 Shady Oaks Rest Home Inc. was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.