NPIMap

Organization Active NPI

Orange Park Medical Center, Inc.

Doing business as HCA Florida Orange Park Hospital

  • Rehabilitation Hospital Unit
  • Orange Park, FL
National Provider Identifier
1366898165
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ORANGE PARK MEDICAL CENTER, INC.
Doing business as
HCA Florida Orange Park Hospital
Orange Park Inpatient Rehabilitation
Practice address
1883 Kingsley Ave
Orange Park, FL 32073-4479
Phone
(904) 639-8500
Fax
(904) 639-2128
NPI assigned
May 11, 2016
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ORANGE PARK MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Emily Lloyd
Title
Cfo
Phone
(478) 464-8140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

1883 Kingsley Ave
Orange Park, FL 32073-4479

Mailing address

1883 Kingsley Ave
Orange Park, FL 32073-4479
Phone (904) 639-8500

Other names 2

  • HCA Florida Orange Park Hospital Doing business as
  • Orange Park Inpatient Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160705000413 FL Part A Provider - Hospital 7113018698 Practice locations: Orange Park, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366898165. Details of each certification follow.

Hospital certification: CCN 10T226

Legal name
ORANGE PARK MEDICAL CENTER INC
Doing business as
ORANGE PARK REHABILITATION CENTER
Organization structure
CorporationProprietary
Incorporated
Aug 26, 1994 in FL
Enrollment address
1883 Kingsley Avenue
Orange Park, FL 32073-4479
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
HCA FL Orange Park Hospital Rehabilitation CenterCCN 10T226 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Orange Park Medical Center Inc7 organizations share this tax ID, including this one
Part of
Orange Park Medical Center Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5573 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-7300

2560 Blanding Blvd
Middleburg, FL 32068
Phone (904) 276-8600

2562 Blanding Blvd
Middleburg, FL 32068
Phone (904) 276-8600

1530 Kingsley Ave
Orange Park, FL 32073
Phone (904) 639-8654

1555 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-8600

1685 Eagle Harbor Pkwy
Ste 2
Orange Park, FL 32003
Phone (904) 541-0001

1825 Kingsley Ave
Ste 100
Orange Park, FL 32073
Phone (904) 639-7100

1883 Kingsley Ave
Orange Park, FL 32073
Phone (904) 639-1800

1887 Kingsley Ave
Ste 1800
Orange Park, FL 32073
Phone (904) 639-7632

1895 Kingsley Ave
Ste 200
Orange Park, FL 32073
Phone (904) 276-8688

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Michael McAlevey Individual Corporate Director Jan 1, 2023
Jaime L Derensis Individual Corporate Officer Jan 1, 2023
HCA Inc Organization, Nashville, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
John M Franck Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2023
Douglas L Downey Individual Corporate Officer Jan 1, 2023
Eric D Smith Individual OtherVice President - Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Holding company, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2023
John I Starling Individual Corporate Officer Jan 1, 2023
Shirley E Scharf-Cheatham Individual Corporate Officer Jan 1, 2023
Richard Hammett Individual Corporate Officer Jan 1, 2023
John M Hackett Individual Corporate Officer Jan 1, 2023
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 23, 2016 14.4%
Samuel N Hazen Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2023
James Chad Patrick Individual Corporate Officer Oct 15, 2024
W-2 Managing EmployeeCeo Oct 15, 2024
Ronald Lee Grubbs Individual Corporate Officer Jan 1, 2023
Monica Cintado Individual Corporate Officer Jan 1, 2023
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Galen Holdco LLC Organization, Nashville, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Seth a Killingbeck Individual Corporate Officer Jan 1, 2023
Ricardo Pavon Individual Corporate Officer Jan 1, 2023
Timothy Scott Noonan Individual Corporate Officer Jan 1, 2023
Natalie H Cline Individual Corporate Officer Jan 1, 2023
Michael T Bray Individual Corporate Officer Jan 1, 2023
Matthew R Favicchio Individual Corporate Officer Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Ashley T Lacaze Individual Corporate Officer Jan 1, 2023
Michael a Marks Individual Corporate Officer Sep 5, 2025
Edwin W Robinson Individual Corporate Officer Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Hugh Carter Tappan Individual Corporate Officer Jan 1, 2023
Kevin a Ball Individual Corporate Officer Jan 1, 2023
Jeffery McInturff Individual Corporate Officer Jan 1, 2023
Deborah H Mullin Individual Corporate Officer Jan 1, 2023

Facilities with the same owner 63

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

View all 63

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1366898165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734479",
            "telephone_number": "904-639-8500",
            "fax_number": "904-639-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734479",
            "telephone_number": "904-639-8500",
            "fax_number": "904-639-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORANGE PARK MEDICAL CENTER, INC.",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-464-8140"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Orange Park Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange Park Inpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.