SHADY OAKS REST HOME INC. – Assisted Living Facility, NPI 1699036285

SHADY OAKS REST HOME INC. is a healthcare provider. based in Daytona beach, Florida. specializing in Assisted Living Facility. The organization holds a License No. AL10293 (FL). The NPI Number for SHADY OAKS REST HOME INC. is 1699036285

Main info

Organization
Name
SHADY OAKS REST HOME INC.
NPI
1699036285
Phone
(386) 253-6993
Address
1208 KENNEDY RD
Authorized Official
MR. JAMES HAM MANAGER
Enumeration Date
31 May 2012
Last Update Date
27 October 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for SHADY OAKS REST HOME INC.

  • 1208 KENNEDY RD

    DAYTONA BEACH, FL 32117

    Phone: (386) 253-6993

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32117)

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Reviews

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Frequently asked questions

Is SHADY OAKS REST HOME INC. listed with a National Provider Identifier?
Yes — SHADY OAKS REST HOME INC. has NPI 1699036285 on file in the registry.
Is SHADY OAKS REST HOME INC. still an active registrant?
SHADY OAKS REST HOME INC. carries an active NPI according to the public dataset.
How would a patient describe SHADY OAKS REST HOME INC.'s focus?
For SHADY OAKS REST HOME INC., the primary taxonomy reads as Assisted Living Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHADY OAKS REST HOME INC.?
Travel planning: use Daytona Beach, Florida as the reference point for SHADY OAKS REST HOME INC., then confirm.
Can I trust this NPI listing for SHADY OAKS REST HOME INC.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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