Healthcare Provider Details

I. General information

NPI: 1083529960
Provider Name (Legal Business Name): OHI WEST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 VIA BELLA BLVD STE 201
LAND O LAKES FL
34639-5429
US

IV. Provider business mailing address

ATTN: HOSPITAL BILLING DEPARTMENT 3160 SOUTHGATE COMMERCE BLVD, STE 44
ORLANDO FL
32806-8550
US

V. Phone/Fax

Practice location:
  • Phone: 813-782-1234
  • Fax:
Mailing address:
  • Phone: 321-841-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: SHAWN BISHOP
Title or Position: VICE PRESIDENT, REIMBURSEMENT
Credential:
Phone: 321-841-6308