- Enrollment id
- O20040419000175
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1083618565
- Multiple npi flag
- N
- Ccn
- 105299
- Associate id
- 9436144532
- Organization name
- SENIOR HEALTH-TNF, LLC
- Doing business as name
- WHISPERING OAKS
- Incorporation date
- 2002-05-31
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- N
- Nursing home provider name
- WHISPERING OAKS
- Affiliation entity name
- SENIOR HEALTH SOUTH
- Affiliation entity id
- 729
- Address line 1
- 1514E CHELSEA ST
- Address line 2
- WHISPERING OAKS
- City
- TAMPA
- State
- FL
- Zip code
- 336106114