1059 VIRGINIA ST OPCO LLC – NPI #1982476206
Assisted Living Facility

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.

Health Care Provider Taxonomy Code for Assisted Living Facility

1059 VIRGINIA ST OPCO LLC is an assisted living facility located in DUNEDIN, FL. NPPES has assigned the NPI number 1982476206 to 1059 VIRGINIA ST OPCO LLC on October 30, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was last updated on Apr 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1059 VIRGINIA ST OPCO LLC below.

NPI Profile for
1059 VIRGINIA ST OPCO LLC

NPI Number
1982476206
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1059 VIRGINIA ST OPCO LLC
Primary location
1059 VIRGINIA ST
DUNEDIN, FL 34698-7326
Phone: (727) 733-6091 Fax: (727) 736-6739
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NATHAN FREUND
MANAGER
Phone: (732) 730-7480
Updated
Certification Date
Apr 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
URN:OID:2.16.840.1.113883.3.5042
Content Type
Affiliation
Y
Endpoint Location
850 CONCOURSE PKWY S STE 250,
MAITLAND, FL 77025-1669