Active NPI
Jax FL Opco LLC
- Skilled Nursing Facility
- Jacksonville, FL
National Provider Identifier
1508645839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- JAX FL OPCO LLC
- Practice address
- 8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836 - Phone
- (904) 642-7300
- NPI assigned
- Sep 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Schoenfeld
- Title
- Manager
- Phone
- (917) 699-3048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836
Mailing address
615 Crescent Executive CT Ste 100
Lake Mary, FL 32746-2118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240514002407 | FL | Part A Provider - Skilled Nursing Facility | 7214378819 | Practice locations: Jacksonville, FL |
Skilled nursing facility certification: CCN 105533
- Legal name
- JAX FL OPCO LLC
- Doing business as
- REGENTS PARK OF JACKSONVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 11, 1986
- Last certification
- May 30, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Lilac Health
- Most recent change of ownership
- Jan 1, 2024
- Organization structure
- LLC
- Enrollment address
- 8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836 - Nursing home name
- REGENTS PARK OF JACKSONVILLE
- Affiliated entity
- ROBERT SCHOENFELD
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Regents Park of Jacksonville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 11, 1986
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Robert Schoenfeld
National Provider Directory
National Provider DirectoryLocations
615 Crescent Executive Ct
Ste 100
Lake Mary, FL 32746
Phone (201) 217-6777
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert B Schoenfeld | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 90% |
| Corporate Officer | Jan 1, 2024 | ||
| Sharon Schoenfeld | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 10% |
| Jax FL Holdco LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 100% |
| FL HC Institute Opco LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Gwendolyn Strunk-Gamel | W-2 Managing Employee | Jan 1, 2024 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1508645839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CRESCENT EXECUTIVE CT STE 100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 A C SKINNER PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560836",
"telephone_number": "904-642-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAX FL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "SCHOENFELD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-699-3048"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.