Organization Active NPI

North Florida Rehabilitation Hospital LLC

Doing business as North Florida Rehabilitation Hospital

  • Rehabilitation Hospital
  • Jacksonville, FL
National Provider Identifier
1508648023
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
7775 Volunteer Way
Jacksonville, FL 32221-6733
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
North Florida Rehabilitation HospitalCCN 103066 · All quality measures
Ownership
For profit
Certified
Jun 20, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2302090North Florida Rehabilitation Hospital LLC7775 Volunteer Way, Jacksonville, FL 32221Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Martin F. Mann Individual Corporate OfficerSVP - Strategic Development May 20, 2024
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
CHC Management Services LLC Organization, Brentwood, TN LLC, Management services company Operational/Managerial Control May 20, 2024
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 20, 2024 100%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest May 22, 2024 100%
Ethel Belle Williams Individual W-2 Managing EmployeeFacility Ceo Apr 27, 2026
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 22, 2024 100%
Marcus B Poppell Individual Operational/Managerial ControlChain Home Office Administrator May 20, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary May 20, 2024
Russell a Bailey Individual Corporate OfficerPresident May 20, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer May 20, 2024
Christopher J Monte Individual Corporate OfficerVice President May 20, 2024
Joseph a. Fuller Individual Corporate OfficerSenior Vice President May 20, 2024
LPNT Irf Development 74, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 20, 2024 100%
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 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.

View all 70

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": "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

Sources for this page

Verify at the official NPI Registry.