Caroline Creek Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CAROLINE CREEK HEALTHCARE, INC.

Practice address

5888 Blanding Blvd
Jacksonville, FL 32244-1927

Phone

(904) 772-1220

Fax

(949) 540-3007

NPI assigned

Jun 19, 2026

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Secretary

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Cedar Hill Post-Acute and Rehabilitation Doing business as

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1245166099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441927",
            "telephone_number": "904-772-1220",
            "fax_number": "949-540-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441927",
            "telephone_number": "904-772-1220",
            "fax_number": "949-540-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill Post-Acute and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Austin Carnevale, MSN, APRN, FNP-C
• Christina Gindele Caro, M.D.
• David Alan Caro, M.D.
• Carol Miller LCSW, L.L.C.
• Abigail Sophia Carolan, MPAS, PA-C
• Cole Carpenter, DMD
• Devoni' I Carpenter
• Lisa Carpenter, RD
• Michael Carpenter, PA-C
• Michael Hanson Carpenter

• 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 Aug 19, 2026; 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.