NPIMap

Organization Active NPI

Reunion Rehabilitation Hospital Jacksonville, LLC

Doing business as Duval Regional Rehabilitation Hospital

  • Rehabilitation Hospital
  • Jacksonville, FL
National Provider Identifier
1043904949
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
REUNION REHABILITATION HOSPITAL JACKSONVILLE, LLC
Doing business as
Duval Regional Rehabilitation Hospital
Reunion Rehabilitation Hospital Jacksonville
Practice address
12645 Salina Dr
Jacksonville, FL 32246-2291
Phone
(904) 787-8150
NPI assigned
Jun 5, 2023
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Denise Kann
Title
Vice President and Secretary
Phone
(972) 216-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

12645 Salina Dr
Jacksonville, FL 32246-2291

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299

Other names 2

  • Duval Regional Rehabilitation Hospital Doing business as
  • Reunion Rehabilitation Hospital Jacksonville Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230822001795 FL Part A Provider - Hospital 4688036767 Practice locations: Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043904949. Details of each certification follow.

Hospital certification: CCN 103063

Legal name
REUNION REHABILITATION HOSPITAL JACKSONVILLE LLC
Doing business as
PENSA NUWIND, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 12, 2023
Last certification
Dec 12, 2023
Beds
48
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 28, 2021 in TX
Enrollment address
12645 Salina Dr
Jacksonville, FL 32246-2291
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Reunion Rehabilitation Hospital JacksonvilleCCN 103063 · All quality measures
Ownership
For profit
Certified
Dec 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2290445Reunion Rehabilitation Hospital Jacksonville, LLC12645 Salina Drive, Jacksonville, FL 32246Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150

7500 Security Blvd
Windsor Mill, MD 21244
Phone (410) 786-2127

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Shu Wing Leung Individual 5% Or Greater Indirect Ownership Interest Mar 7, 2026 11.05%
Tracey Nixon Individual Corporate OfficerChief Compliance Officer Jul 21, 2023
Mandola, Inc Organization, Honolulu, HI Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 27, 2023 22.1%
Kevin Loh Individual 5% Or Greater Indirect Ownership Interest Jul 27, 2023 22.21%
Miu King Leung Individual 5% Or Greater Indirect Ownership Interest Mar 7, 2026 11.05%
Pensa Nuwind, LLC Organization, Honolulu, HI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 27, 2023 22.21%
Kai' Ohu Amg, Inc. Organization, Honolulu, HI Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 27, 2023 19.44%
Nobis Rehabilitation Partners, LLC Organization, Allen, TX LLC Operational/Managerial Control Jul 21, 2023
David Moore Individual 5% Or Greater Indirect Ownership Interest Jul 27, 2023 6.58%
Michael D Bennett Individual 5% Or Greater Indirect Ownership Interest Jul 27, 2023 19.44%
Mandola International Limited, LLC Organization, Honolulu, HI LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 7, 2026 22.11%
Gaston Gonzalez Individual W-2 Managing EmployeeAd; Feb 9, 2026
Karen Macy Schepis Individual Corporate DirectorCorporate Director of Compliance Jul 21, 2023
Merit Gala Limited, Inc. Organization, Honolulu, HI Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 7, 2026 22.11%
Margie Crawley Individual Corporate DirectorCorporate Director of Rev Cycle Jul 21, 2023
Reunion Hospital Holdings, LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 27, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1043904949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434",
            "telephone_number": "972-216-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 SALINA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462291",
            "telephone_number": "904-787-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUNION REHABILITATION HOSPITAL JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Duval Regional Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reunion Rehabilitation Hospital Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.