Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4641 Old Canoe Creek Road Operations LLC

Organization Skilled Nursing Facility · NPI 1528337276

4641 Old Canoe Creek Road Operations LLC is a Skilled Nursing Facility in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550
Phone: (407) 892-7344
Fax: (407) 892-5244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF16340962 (FL)

Record details

NPI number1528337276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Ussery — Vp · (407) 571-1550
Other names Plantation Bay Rehabilitation Center; Plantation Bay Rehabilitation Center
NPI enumeratedDecember 27, 2011
Last updated in NPPESNovember 27, 2023
Certification dateMay 15, 2020
Mailing address4641 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550

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