Healthcare Provider Details

I. General information

NPI: 1245194315
Provider Name (Legal Business Name): SHIRLEY ADAMS DBA FIVE OAKS REST HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 OLD WELAKA RD
WELAKA FL
32193-2172
US

IV. Provider business mailing address

611 OLD WELAKA RD
WELAKA FL
32193-2172
US

V. Phone/Fax

Practice location:
  • Phone: 386-546-1232
  • Fax: 386-467-9998
Mailing address:
  • Phone: 386-546-1232
  • Fax: 386-467-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: BOBBIE ADAMS
Title or Position: CO-ADMINISTRATOR
Credential:
Phone: 386-546-1232