NPIMap

Organization Active NPI

Alachua County HRC, LLC

  • Skilled Nursing Facility
  • Gainesville, FL
National Provider Identifier
1003485228
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALACHUA COUNTY HRC, LLC
Practice address
6517 NW 39TH Ave
Gainesville, FL 32606-5735
Phone
(321) 725-6131
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Deborah Kennedy
Title
Authorized Agent
Phone
(321) 725-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6517 NW 39TH Ave
Gainesville, FL 32606-5735

Mailing address

5270 N US Highway 1 Ste 101
Palm Shores, FL 32940-7216
Phone (321) 725-6131

Other names 1

  • Magnolia Ridge HRC, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.magnoliaridgerehab.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116001387 FL Part A Provider - Skilled Nursing Facility 6507255338 Practice locations: Gainesville, FL

Skilled nursing facility certification: CCN 106149

Legal name
ALACHUA COUNTY HRC, LLC
Doing business as
MAGNOLIA RIDGE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 18, 2022
Last certification
Dec 5, 2024
Beds
223
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Clear Choice Health Care
Organization structure
LLCProprietary
Incorporated
Oct 19, 2015 in FL
Enrollment address
6517 NW 39TH Ave
Gainesville, FL 32606-5735
Nursing home name
MAGNOLIA RIDGE HEALTH AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia Ridge Health and Rehabilitation CenterCCN 106149
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
223201.9 residents per day on average
Penalties (3 years)
1Fines totaling $5,678

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2229510Magnolia Ridge Health & Rehabilitation Center6517 NW 39TH Ave, Gainesville, FL 32606Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

Locations

5270 N US Highway 1
Unit 101
Palm Shores, FL 32940

Networks

  • AL HMO

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
CRK Alachua LLC Organization, Madison, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 32%
LP Designs LLC Organization, Trenton, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 5%
Charlotte R. Kellett GST Trust Organization, Madison, FL For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 32%
Alachua 223, LLC Organization, Melbourne, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 5%
MVS Alachua, LLC Organization, Madison, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 20%
Margaret V Smith GST Trust Organization, Madison, FL 5% Or Greater Indirect Ownership Interest Oct 16, 2014 20%
SBK LLC Organization, Madison, FL LLC, For-profit Operational/Managerial Control Oct 16, 2014 100%
JNK SBK III GST Trust Organization, Madison, FL For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 32%
JNK SBK III Alachua, LLC Organization, Madison, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 32%
Alachua County HRC, LLC Organization, Gainesville, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 100%
Clear Choice Health Care LLC Organization, Melbourne, FL LLC, For-profit Operational/Managerial Control May 30, 2019
Leslie R Partee Individual Corporate OfficerVice President of Finance Oct 16, 2014
Operational/Managerial Control Jan 3, 2025
Adp of the SNF Jan 3, 2025
Indirect Ownership Interest Oct 16, 2014 4.9%
Andy Wilkes Retirement Trust Organization, Madison, FL Created for acquisition 5% Or Greater Indirect Ownership Interest Oct 16, 2014 5%
Branch Banking and Trust Company Organization, Winston Salem, NC Created for acquisition, For-profit 5% Or Greater Mortgage Interest May 30, 2019 75.2%
Awrt Alachua LLC Organization, Madison, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 5%

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1003485228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 N US HIGHWAY 1 STE 101",
            "city": "PALM SHORES",
            "state": "FL",
            "postal_code": "329407216",
            "telephone_number": "321-725-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 NW 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065735",
            "telephone_number": "321-725-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALACHUA COUNTY HRC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "321-725-6131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.magnoliaridgerehab.com",
            "affiliation": "N",
            "endpointDescription": "Magnolia Ridge website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6517 NW 39th Ave",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326065735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Magnolia Ridge HRC, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Ridge HRC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.