Active NPI
North Florida Rehabilitation Hospital LLC
Doing business as North Florida Rehabilitation Hospital
- Rehabilitation Hospital
- Jacksonville, FL
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Inpatient rehabilitation facility
- Laboratory certificates & supplier records
- National Provider Directory
- Ownership & related parties
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Jacksonville, FL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- NORTH FLORIDA REHABILITATION HOSPITAL LLC
- Doing business as
- North Florida Rehabilitation Hospital
- Practice address
- 7775 Volunteer Way
Jacksonville, FL 32221 - Phone
- (615) 920-7000
- NPI assigned
- Oct 18, 2023
- Last updated
- Mar 4, 2024
- 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
- Scott Rotsted
- Title
- Ceo
- Phone
- (904) 578-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
7775 Volunteer Way
Jacksonville, FL 32221
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names 1
- North Florida Rehabilitation Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240411001621 | FL | Part A Provider - Hospital | 6901245802 | Practice locations: Jacksonville, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508648023. Details of each certification follow.
Hospital certification: CCN 103066
- Legal name
- NORTH FLORIDA REHABILITATION HOSPITAL LLC
- Doing business as
- NORTH FLORIDA REHABILITATION HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Jun 20, 2024
- Last certification
- Jun 20, 2024
- Beds
- 50
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Enrollment address
- 7775 Volunteer Way
Jacksonville, FL 32221-6733 - Hospital subgroups
- Rehabilitation
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- North Florida Rehabilitation Hospital
- Ownership
- For profit
- Certified
- Jun 20, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2302090 | North Florida Rehabilitation Hospital LLC | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
7775 Volunteer Way
Jacksonville, FL 32221
Phone (904) 578-1300
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Martin F. Mann | Corporate Officer | May 20, 2024 | |
| Lifepoint Rehab Blocker LLC | 5% Or Greater Indirect Ownership Interest | May 20, 2024 | 100% |
| CHC Management Services LLC | Operational/Managerial Control | May 20, 2024 | |
| Lifepoint Rehab LLC | 5% Or Greater Indirect Ownership Interest | May 20, 2024 | 100% |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | May 22, 2024 | 100% |
| Ethel Belle Williams | W-2 Managing Employee | Apr 27, 2026 | |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | May 22, 2024 | 100% |
| Marcus B Poppell | Operational/Managerial Control | May 20, 2024 | |
| Charlotte E Lawrence | Corporate Officer | May 20, 2024 | |
| Russell a Bailey | Corporate Officer | May 20, 2024 | |
| John Michael Grooms | Corporate Officer | May 20, 2024 | |
| Christopher J Monte | Corporate Officer | May 20, 2024 | |
| Joseph a. Fuller | Corporate Officer | May 20, 2024 | |
| LPNT Irf Development 74, LLC | 5% Or Greater Direct Ownership Interest | May 20, 2024 | 100% |
| Lifepoint Rehab Blocker Parent LLC | 5% Or Greater Indirect Ownership Interest | May 22, 2024 | 100% |
Facilities with the same owner 70
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba TGH Behavioral Health Hospital
- Psychiatric Hospital
- Tampa, FL
- NPI 1316775372
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Tampa General Rehabilitation Hospital
- Rehabilitation Hospital
- Tampa, FL
- NPI 1346908068
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Anderson Rehabilitation Institute
- Rehabilitation Hospital
- Edwardsville, IL
- NPI 1396338703
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Atlantic Rehabilitation Institute
- Rehabilitation Hospital
- Madison, NJ
- NPI 1437627577
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba University Hospitals Avon Rehabilitation Hospital
- Rehabilitation Hospital
- Avon, OH
- NPI 1316317779
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Baptist Memorial Rehabilitation Hospital - Madison
- Rehabilitation Hospital
- Madison, MS
- NPI 1457163156
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Baptist Memorial Rehabilitation Hospital
- Rehabilitation Hospital
- Germantown, TN
- NPI 1235553066
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba University Hospitals Rehabilitation Hospital
- Rehabilitation Hospital
- Beachwood, OH
- NPI 1497002398
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Beckett Springs
- Psychiatric Hospital
- West Chester, OH
- NPI 1538404371
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC
-
dba Brentwood Springs
- Psychiatric Hospital
- Newburgh, IN
- NPI 1457594830
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Carrollton Springs
- Psychiatric Hospital
- Carrollton, TX
- NPI 1134401466
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Community Health Network Rehabilitation Hospital
- Rehabilitation Hospital
- Indianapolis, IN
- NPI 1114268810
CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1174558753
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1508648023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7000",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7775 VOLUNTEER WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32221",
"telephone_number": "615-920-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FLORIDA REHABILITATION HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-18",
"last_updated": "2024-03-04",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "ROTSTED",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-578-1300"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Florida Rehabilitation Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Florida Rehabilitation Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- North Florida Pediatrics PA
- North Florida Pediatrics, PA
- North Florida Pediatrics, PA
- North Florida Primary Associates, LLC
- North Florida Pulmonary Associates, LLC
- North Florida Reproductive Biology Laboratory
- North Florida Reproductive Medicine, LLC (Florida Institute for Reproductive Medicine)
- North Florida School of Special Education, Inc.
- North Florida Shuttle Corp
- North Florida Sinus Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.