Organization Active NPI

Center for Aging and Rehabilitation of Jacksonville Inc

Doing business as Saints Care Center

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1437760121
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC
Doing business as
Saints Care Center
Practice address
5888 Blanding Blvd
Jacksonville, FL 32244-1927
Phone
(904) 772-1220
Fax
(904) 772-6334
NPI assigned
Aug 14, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Ms. Margaret H Fernandez
Title
President Director
Phone
(954) 367-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

5888 Blanding Blvd
Jacksonville, FL 32244-1927

Mailing address

100 SE 2ND St Ste 2000
Miami, FL 33131-2101
Phone (954) 367-4597

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

Other names 1

  • Saints Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2093316Center for Aging and Rehabilitation of5888 Blanding Blvd, Jacksonville, FL 32244Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1437760121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SE 2ND ST STE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312101",
            "telephone_number": "954-367-4597",
            "fax_number": "954-367-4564"
        },
        {
            "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": "904-772-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "954-367-4597",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.