Healthcare Provider Details

I. General information

NPI: 1831893585
Provider Name (Legal Business Name): PARKS OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 11/23/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9311 S ORANGE BLOSSOM TRL
ORLANDO FL
32837-8301
US

IV. Provider business mailing address

974 ROUTE 45 STE 1200
POMONA NY
10970-3568
US

V. Phone/Fax

Practice location:
  • Phone: 407-858-0455
  • Fax:
Mailing address:
  • Phone: 845-320-2004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB ZAHLER
Title or Position: MEMBER
Credential:
Phone: 845-230-2004