Summer Brook FL SNF Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUMMER BROOK FL SNF MANAGEMENT LLC

Practice address

5377 Moncrief Rd
Jacksonville, FL 32209-3159

Phone

(904) 768-1506

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Cameron Marsh

Title

Corporate Finance

Phone

(386) 255-1054

Specialties & licenses 1

Addresses

Other names 1

• Healthcare Center of Jacksonville Doing business as

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1114488996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FENTRESS BLVD STE H",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 MONCRIEF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093159",
            "telephone_number": "904-768-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER BROOK FL SNF MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CORPORATE FINANCE",
        "authorized_official_telephone_number": "386-255-1054"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Center of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Sultzer, CLC
• Sulzbacher Health Center
• Rachel Sulzer
• Jessi N Suminski, BC-HIS
• Shanta D Sumlin
• Summerlin Imaging Center LLC
• Emily Summerlin, DDS
• Bibi Summers-Cabble
• Kelly Marie Summers, ARNP
• Kendra Summers, OTR/L

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.