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1001 OLD TOMOKA LLC
NPI 1942630462
Assisted Living Facility in Ormond Beach, FL

Active since November 19, 2013
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174(386) 453-1519(888) 562-7611 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1001 Old Tomoka Llc NPPES

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

1001 OLD TOMOKA LLC (NPI 1942630462) is a healthcare organization registered as an assisted living facility in Ormond Beach, Florida and active in the NPI registry since November 2013. The organization lists Ofer Sharon, Manager, as its authorized official.

NPPES Registry Identity

NPI1942630462
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name1001 OLD TOMOKA LLC
Location Address1001 OLD TOMOKA RDOrmond Beach, FL 32174-5979
Mailing Address1001 Old Tomoka RdOrmond Beach, FL 32174-5979 · (386) 453-1519 · Fax (888) 562-7611
Phone(386) 453-1519
Fax(888) 562-7611
Organization SubpartNo
Authorized OfficialOfer SharonManager · (386) 453-1519
Enumeration DateNovember 19, 2013
✔ NPI 1942630462 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 · AL12175
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.
1001 OLD TOMOKA RD, Ormond Beach, FL 32174
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Other Providers at the Same Location NPPES

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

1001 OLD TOMOKA LLC
Assisted Living Facility
1001 OLD TOMOKA RD
ORMOND BEACH, FL 32174
Flagler County (386) 453-1519

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 1001 Old Tomoka LLC's NPI number?

The NPI number for 1001 Old Tomoka LLC is 1942630462. It was assigned to this organization in the NPPES registry on November 19, 2013.

Where is 1001 Old Tomoka LLC located?

1001 Old Tomoka LLC is located at 1001 Old Tomoka Rd, Ormond Beach, FL 32174. The listed phone number is (386) 453-1519.

What is 1001 Old Tomoka 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 1001 Old Tomoka LLC was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.