DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUWANNEE OPERATING INVESTMENTS LLC

MEDICARE: SUWANNEE OPERATING INVESTMENTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114671104
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUWANNEE OPERATING INVESTMENTS LLC
Provider Business Mailing Address
First Line : 974 ROUTE 45 STE 1200
Second Line :
City : POMONA
State : NY
Zip : 10970-3568
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1620 HELVENSTON ST SE
Second Line :
City : LIVE OAK
State : FL
Zip : 32064-3474
Country : US
Telephone Number : 386-362-7860
Fax Number :
Authorized Official
Title or Position : COO
Name : RHEA GOODWIN
Credential :
Telephone Number : 267-800-8008
Provider Enumeration Date : 02/08/2022
Last Update Date : 09/25/2025

Similar Medicare Providers

1508858259 — DELTA HEALTH GROUP INC
Practice Location Address:
1620 HELVENSTON ST SE
LIVE OAK, FL
32064-3474
Practice Phone: 386-362-7860
Practice Fax: 386-362-4417
1376703819 — NF SUWANNEE LLC
Practice Location Address:
1620 HELVENSTON ST SE
LIVE OAK, FL
32064-3474
Practice Phone: 386-362-7860
Practice Fax:
1871100594 — JOSE ALVARO PONCE II
Practice Location Address:
1620 HELVENSTON ST SE
LIVE OAK, FL
32064-3474
Practice Phone: 626-634-1128
Practice Fax:
1922615277 — MRS. KENDALL JORDAN HANNAH
Practice Location Address:
1620 HELVENSTON ST SE
LIVE OAK, FL
32064-3474
Practice Phone: 386-590-3411
Practice Fax:
1275140469 — KASSIDY MORGAN STALLINGS OTR/L
Practice Location Address:
1620 HELVENSTON ST SE
LIVE OAK, FL
32064-3474
Practice Phone: 386-362-7860
Practice Fax:
1457305443 — IMELDA SUELTO MD
Practice Location Address:
2460 OAK HILLS DR
COLORADO SPRINGS, CO
80919-3474
Practice Phone: 719-661-9441
Practice Fax:

Directions to “SUWANNEE OPERATING INVESTMENTS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.