MEMORIAL HEALTH SYSTEMS INC (NPI# 1598860108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598860108 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEMS INC |
| Other Organization Name | ADVENTHEALTH DAYTONA BEACH |
| Practice Address |
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 |
| Mailing Address |
770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 |
| Practice Telephone | 3862316000 |
| Mailing Telephone | 3862316000 |
| Mailing Fax Number | 3866715072 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | CULLY CHAPMAN (CFO) |
| Authorized Official Telephone | 3862316000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTH SYSTEMS INC FLORIDA HOSPITAL ORMOND MEMORIAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 4201 | FL | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010186900 | 05 | |
| FL | AETNA PPO | 6201455 | 01 |
| FL | UHC | 5000085 | 01 |
| FL | BLUE CROSS OUTPATIENT | 334 | 01 |
| FL | AETNA HMO | 671569 | 01 |
| FL | BLUE CROSS INPATIENT | Y20 | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth Daytona Beach | Doing Business As Name - Organization |
| Florida Hospital Oceanside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640997 | Memorial Health Systems Inc | Family Medicine | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | 2006-08-25 |
| 1922115914 | Memorial Health Systems Inc | Radiology | 305 Memorial Medical Pkwy Ste 205, Daytona Beach, FL 32117-5169 | 2006-08-24 |
| 1720195449 | Memorial Health Systems Inc | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1548377260 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1366559080 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1063426823 | Memorial Health Systems Inc | General Acute Care Hospital | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-07-28 |
| Street Address |
301 MEMORIAL MEDICAL PKWY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588788 | Kathleen Ann Williams | Internal Medicine | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2005-12-14 |
| 1790385029 | James Edward Collie | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-10-27 |
| 1568077501 | Christian H Schadt | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-09-15 |
| 1982220620 | Olatoun Okediji | Social Worker | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-06-18 |
| 1962038554 | Maria Clea Dulay | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1659907244 | Lisa Wisniewski | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1386287506 | Kristin Warner | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-21 |
| 1841832797 | Morgan Nicole Miles | Hospitalist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-11 |
| 1508329780 | Samantha Snowden | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-13 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302045 | Broward Health | Rehabilitation Unit | 1800 Sw 5th Place, Ft. Lauderdale, FL 33309 | 2016-09-01 |
| 1063892586 | Jd Solutions Center, Corp | Rehabilitation Unit | 6955 Nw 77th Ave Ste 310, Miami, FL 33166-2846 | 2015-06-01 |
| 1588085542 | Vista Medical Reheb Center. Inc | Rehabilitation Unit | 4355 W 16 Ave Suite 212, Hialeah, FL 33012-7670 | 2013-12-18 |
| 1134556988 | Exceptional Care Medical Group Corp | Rehabilitation Unit | 4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667 | 2013-10-10 |
| 1033462254 | B&c Rehabilitation Center Inc | Rehabilitation Unit | 1800 Sw 27th Ave Ste 403, Miami, FL 33145-2400 | 2012-10-25 |
| 1184998544 | Universal Therapeutics Inc | Rehabilitation Unit | 6501 Nw 36th St Ste 411, Virginia Gardens, FL 33166-6964 | 2012-03-02 |
| 1518239185 | Light Rehabilitation Center, Inc | Rehabilitation Unit | 3060 Jog Rd, Greenacres, FL 33467-2052 | 2012-01-29 |
| 1215215405 | Eternal Beauty Corp | Rehabilitation Unit | 2794 W 68th St, Suite 103, Hialeah, FL 33016-5407 | 2011-07-22 |
| 1245521079 | Military Trail Rehab & Therapy Center | Rehabilitation Unit | 925 S Military Trl, Suite D6, West Palm Beach, FL 33415-3977 | 2011-04-27 |
| 1629388947 | Florida Rehabilitation Medical Center, Inc | Rehabilitation Unit | 1926 10th Ave N Ste 103, Lake Worth, FL 33461-3300 | 2010-10-20 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.