First Coast Health Ventures, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FIRST COAST HEALTH VENTURES, LLC

Doing business as

River City Rehab Center

Practice address

15480 Max Leggett Parkway
Jacksonville, FL 32218

Phone

(904) 321-1909

Fax

(904) 321-1790

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Annesley P Brightwell

Title

Regional Business Office Manager

Phone

(904) 753-1870

Specialties & licenses 1

Addresses

Other names 1

• River City Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 106142

Legal name

FIRST COAST HEALTH VENTURES, LLC

Doing business as

RIVER CITY NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 6, 2020

Last certification

Apr 25, 2024

Beds

116

Ownership / control type

Corporation

Multi-facility organization

First Coast Health Ventures

Organization structure

LLCProprietary

Incorporated

Jul 22, 2015 in FL

Enrollment address

15480 Max Leggett Pkwy
Jacksonville, FL 32218-2564

Nursing home name

RIVER CITY NURSING AND REHAB CENTER

Listed as

River City Nursing and Rehab CenterCCN 106142 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

116104.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Keith Chae Kim, M.D.

  • Surgery Physician
  • Celebration, FL
  • NPI 1194732750

  5% Or Greater Direct Ownership Interest, Adp of the SNF

  CMS ownership
• Michael V Sharpe, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1750382669

  Adp of the SNF

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Marc Benjamin Blatt, D.O.

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1861498131

  Nursing home

  Care Compare affiliation
• Michael V Sharpe, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1750382669

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1578199303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15369",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353107",
            "telephone_number": "904-321-1909",
            "fax_number": "904-321-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 MAX LEGGETT PARKWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-321-1909",
            "fax_number": "904-321-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST HEALTH VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "BRIGHTWELL",
        "authorized_official_first_name": "ANNESLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGIONAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "904-753-1870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• First Coast Eye Associates, PA
• First Coast Eyewear Inc
• First Coast Family Medicine PA
• First Coast Foot & Ankle Clinic Inc
• First Coast FS, LLC
• First Coast Heart & Vascular Center, PA
• First Coast Hospitalist P L
• First Coast Imaging LLC
• First Coast Infectious Disease Consultants LLC
• First Coast Laboratories

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.

Verify at the official NPI Registry.