Provider Demographics
NPI:1467994764
Name:HANNA OAKS OPERATING LLC
Entity Type:Organization
Organization Name:HANNA OAKS OPERATING LLC
Other - Org Name:HANNA OAKS CENTER FOR INDEPENDENT & ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HILLEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEUERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-793-0950
Mailing Address - Street 1:2425 E HANNA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-1317
Mailing Address - Country:US
Mailing Address - Phone:813-238-3053
Mailing Address - Fax:
Practice Address - Street 1:2425 E HANNA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-1317
Practice Address - Country:US
Practice Address - Phone:813-238-3053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility