SENIOR HEALTH-FIRST COAST, LLC (NPI# 1932103637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932103637 |
Entity Type | Organization |
Organization Name | SENIOR HEALTH-FIRST COAST, LLC |
Other Organization Name | FIRST COAST HEALTH & REHABILITATION CENTER |
Practice Address |
7723 Jasper Ave Jacksonville FL 32211-7719 |
Mailing Address |
1675 Palm Beach Lakes Blvd Suite 900 West Palm Beach FL 33401 |
Practice Telephone | 9047258044 |
Practice Fax Number | 9047213193 |
Mailing Telephone | 6618017600 |
Mailing Fax Number | 4143684213 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2012-10-05 |
Authorized Official Name | HOWARD DILLON JAFFE (PRESIDENT) |
Authorized Official Telephone | 2153466454 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | SNF1150096 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 022783800 | 05 |
Other Name | Type Code |
---|---|
First Coast Health & Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
7723 JASPER AVE |
City | JACKSONVILLE |
State | FL |
Zip Code | 32211-7719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720685126 | Rebecca Burkhardt | Physical Therapy Assistant | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2020-10-08 |
1912511668 | Calvin Michael Jones | Occupational Therapist | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2020-09-01 |
1215572961 | Colleen Morris | Occupational Therapist | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2019-11-15 |
1770128738 | Kristen Marie Stephens | Occupational Therapy Assistant | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2019-11-14 |
1346884418 | Kievanna Lacey | Occupational Therapist | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2019-11-01 |
1467912436 | Angela Renee Wentz | Occupational Therapy Assistant | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2019-03-25 |
1235696865 | Rachel Korchnak | Occupational Therapy Assistant | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2019-03-01 |
1417421181 | David L Austin | Physical Therapy Assistant | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2019-01-16 |
1982175089 | Tevin Brunswick | Occupational Therapy Assistant | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2018-12-16 |
1114495207 | Kelsey Gress | Speech-Language Pathologist | 7723 Jasper Ave, Jacksonville, FL 32211-7719 | 2018-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
Find all providers in zip 32211 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
1629439260 | West Jax Geriatrics, LLC | Skilled Nursing Facility | 730 College St, Jacksonville, FL 32204-3313 | 2016-03-10 |
1376955377 | Edwin Bato | Skilled Nursing Facility | 3434 Nightscape Cir, Jacksonville, FL 32224-1618 | 2014-05-24 |
1508138678 | Terri Velinda Virgil | Skilled Nursing Facility | 11555 Birch Forest Circle East, Jacksonville, FL 32218 | 2012-02-03 |
1689993032 | Jacksonville Scc, LLC | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2010-05-25 |
1326362005 | Brooks Skilled Nursing Facility, A, Inc. | Skilled Nursing Facility | 6209 Brooks Bartram Dr. Bldg 100, Jacksonville, FL 32258 | 2010-03-24 |
1144476946 | Magnus Opus Technology | Skilled Nursing Facility | 7000 Northlake Dr, Jacksonville, AR 72076-4959 | 2008-08-12 |
1972796175 | Russell Wayne Tolliver | Skilled Nursing Facility | 4083 Sunbeam Rd, Apartment 1409, Jacksonville, FL 32257-8993 | 2007-08-21 |
1750409082 | Patti Sperling Arnp LLC | Skilled Nursing Facility | 402 Myrtlewood Cir, Jacksonville, NC 28546-7412 | 2007-03-26 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32211 |
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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.