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803 Oak Street Operations LLC

Skilled Nursing Facility in Green Cove Springs, FL · enumerated 2011 · authorized official Kenneth Ussery, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356610091

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Registry record

Entity type Organization (Type 2)
Legal business name 803 Oak Street Operations LLC
Other name <Unavail>
Practice address 803 Oak St, Green Cove Springs, FL, 32043
Phone (904) 284-5606
Fax (904) 284-0392
Enumeration date Dec 27, 2011
Last updated in NPPES Nov 27, 2023

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF1181096 (FL) Primary

Authorized official

Name Kenneth Ussery
Title Vp
Phone (407) 571-1550

Other identifiers

Identifier Type State Issuer
004387500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is 803 Oak Street Operations LLC?
803 Oak Street Operations LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-27.