NPIMap

Organization Active NPI

H2 Rehabilitation Services of Florida LLC

Doing business as H2 Health

  • Rehabilitation Clinic/Center
  • Fleming Island, FL
National Provider Identifier
1366495533
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
H2 REHABILITATION SERVICES OF FLORIDA LLC
Doing business as
H2 Health
Practice address
4711 US Highway 17 South Suite B3
Fleming Island, FL 32003-8238
Phone
(904) 264-9400
Fax
(904) 264-2712
NPI assigned
May 18, 2006
Last updated
Nov 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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

Authorized official

Name
Amanda Streeter
Title
Vice President
Phone
(800) 699-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4711 US Highway 17 South Suite B3
Fleming Island, FL 32003-8238

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Other names 1

  • H2 Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031020000012 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971411851 7 other NPIs on this enrollment
Practice locations: Fleming Island, FL; St Augustine, FL; New Smyrna Beach, FL; Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366495533. Details of each certification follow.

  • CCN 106870 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 106870

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
H2 REHABILITATION SERVICES OF FLORIDA LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 15, 1994
Last certification
Jun 5, 2018
Ownership / control type
Proprietary
Most recent change of ownership
Jan 1, 2003
Facility address
4711 US Hwy 17 S
Fleming Island, FL 32003

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

12525 Philips Hwy
Ste 111
Jacksonville, FL 32256
Phone (904) 262-7460

9200 S State Road 228
Macclenny, FL 32063

3425 Executive Pkwy
Ste 128
Toledo, OH 43606
Phone (419) 537-0764

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1366495533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 US HIGHWAY 17 SOUTH SUITE B3",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038238",
            "telephone_number": "904-264-9400",
            "fax_number": "904-264-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2 REHABILITATION SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.