PECAN TREE HOLDINGS LLC NPI 1851734768

NPI Information

  • NPI: 1851734768
  • Provider Name: PECAN TREE HOLDINGS, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PLANTATION OAKS SENIOR LIVING RESIDENCE
  • Address: 201 NE 1ST AVE
    HIGH SPRINGS, FL
    ZIP 32643
  • Phone: (386) 454-0801

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NPI Details

PECAN TREE HOLDINGS, LLC is an assisted living facility in High Springs, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PECAN TREE HOLDINGS, LLC NPI is 1851734768. The provider is registered as an organization entity type.
The provider Is Doing Business As Plantation Oaks Senior Living Residence.

The provider's business location address is:

201 NE 1ST AVE
HIGH SPRINGS, FL
ZIP 32643-444
Phone: (386) 454-0801
Fax: (386) 454-4436

The provider's authorized official is Meta B Mcclain .
The authorized official title is Ed and has the following contact phone number (386) 454-0801.

The enumeration date for this NPI number is 4/10/2013 and was last updated on 4/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL11967FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003409700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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