NPIMap

Organization Active NPI

H2 Rehabilitation Services of Florida LLC

Doing business as H2 Health

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1407943160
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
4820 Deer Lake Drive West
Suite D-9
Jacksonville, FL 32246-4502
Phone
(904) 998-9129
Fax
(904) 642-0345
NPI assigned
Oct 6, 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

4820 Deer Lake Drive West
Suite D-9
Jacksonville, FL 32246-4502

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 FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031118000198 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971411851 11 other NPIs on this enrollment
Practice locations: St Johns, FL; Macclenny, FL; Jacksonville, FL
O20060612000016 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971411851 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Middleburg, FL; Orange Park, FL; Callahan, FL; Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407943160. Details of each certification follow.

  • CCN 106962 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 106962

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 HEALTH
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 28, 1996
Last certification
Sep 8, 2023
Ownership / control type
Proprietary
Most recent change of ownership
Jan 1, 2003
Facility address
4820 Deer Lake Dr West
Jacksonville, FL 32246

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 14

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

View all 14

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1407943160",
    "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": "4820 DEER LAKE DRIVE WEST",
            "address_2": "SUITE D-9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464502",
            "telephone_number": "904-998-9129",
            "fax_number": "904-642-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2 REHABILITATION SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "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 Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.