Memorial Health Systems Inc
Organization Active NPI Rehabilitation Hospital Unit · Daytona Beach, FL
NPI 1598860108 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1598860108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 4201 (FL)
- Legal business name
- MEMORIAL HEALTH SYSTEMS INC
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-6000
- Fax
- (386) 231-1298
- NPI assigned
- Sep 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MEMORIAL HEALTH SYSTEMS INC FLORIDA HOSPITAL ORMOND MEMORIAL
Authorized official
- Name
- Cory Domayer
- Title
- Cfo
- Phone
- (386) 231-3906
Owners & managing parties with NPI records 5
-
Meetesh Desai, MD
-
Utpal S Desai, M.D.
-
Ketul Raman Patel, M.D.
-
James Arocho, MD
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 7
Related certifications (CCN) 2
Facilities with the same owner 88
Affiliated clinicians 6
-
Saif Ahmed, M.D.
-
Ukonu Ejie, MD
-
Edwidge L Raoul, M.D.
-
Tallat M Rizk, MD
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Adventhealth Daytona Beach
- Ownership
- Non-profit
- Certified
- Jan 1, 2026
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Hospital certification: CCN 10T068
- Legal name
- MEMORIAL HEALTH SYSTEMS INC
- Doing business as
- ADVENTHEALTH DAYTONA BEACH
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 18, 1961 in FL
- Enrollment address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 34
| Name | Role | Since | Share |
|---|---|---|---|
| Ketul R Patel |
Corporate Director |
Jan 1, 2023 | |
| Debora H Thomas |
Corporate Officer |
Aug 24, 2023 | |
| Corporate Director |
Aug 24, 2023 | ||
| Philip Maroney |
Corporate Director |
Sep 17, 2020 | |
| Douglas Hilliard |
Corporate Officer |
Aug 21, 2025 | |
| John J Adams |
Corporate Director |
Feb 21, 2013 | |
| Gloria Ceballos |
Corporate Director |
Aug 17, 2023 | |
| Jeffrey Graff |
Corporate Officer |
Sep 11, 2014 | |
| Meetesh S Desai |
Corporate Director |
Feb 18, 2021 | |
| Diane Godfrey |
Corporate Officer |
Dec 11, 2025 | |
| Robert Deininger |
Corporate Officer |
Jun 13, 2025 | |
| Corporate Director |
Jun 13, 2025 | ||
| Andrea Hooper |
Corporate Director |
Aug 24, 2023 | |
| Michael Saunders |
Corporate Officer |
Feb 22, 2007 | |
| Paul C Rathbun |
Corporate Officer |
Sep 11, 2014 | |
| David a Burt |
Corporate Director |
Jan 1, 2009 | |
| Dennis a Hernandez |
Corporate Director |
Apr 28, 2022 | |
| David a Weis |
Corporate Officer |
Aug 28, 2022 | |
| Francis Owens |
Contracted Managing Employee | Feb 15, 2026 | |
| Corporate Officer |
Feb 15, 2026 | ||
| Operational/Managerial Control |
Feb 15, 2026 | ||
| Adventist Health System Sunbelt Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Oct 1, 2000 | 100% |
| Amanda Brady |
Corporate Officer |
Feb 27, 2020 | |
| Toni Berrios |
Corporate Officer |
Aug 25, 2022 | |
| Haney Vincent |
Corporate Officer |
Dec 9, 2021 | |
| Nika Hosseini |
Corporate Director |
Apr 4, 2024 | |
| James Arocho |
Corporate Director |
Sep 11, 2014 | |
| Todd a Goodman |
Corporate Officer |
Sep 14, 2017 | |
| Corporate Director |
Feb 23, 2017 | ||
| David R Sinclair |
Contracted Managing Employee |
Mar 9, 2025 | |
| Corporate Officer |
Mar 9, 2025 | ||
| Operational/Managerial Control |
Mar 9, 2025 | ||
| David L Huffman |
Corporate Officer |
Feb 27, 2020 | |
| Julie L Turpin |
Corporate Director |
Aug 21, 2025 | |
| Robert C Foltz |
Corporate Officer |
Sep 11, 2014 | |
| Lynn Addiscott |
Corporate Officer |
Feb 5, 2002 | |
| Randall Haffner |
Corporate Director |
Apr 8, 2021 | |
| Utpal Sureskumar Desai |
Corporate Director |
Jan 1, 2025 | |
| John P Ferguson |
Corporate Director |
Jun 8, 2017 | |
| Beverly Morgan |
Corporate Officer |
Aug 21, 2025 | |
| Adventist Health System Sunbelt Inc |
5% Or Greater Direct Ownership Interest | Oct 1, 2000 | 100% |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth Palm Coast |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1991 |
| Adventhealth Deland |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 28, 1994 |
| Adventhealth Deland |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 28, 1994 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080827000755 | FL | Part a Provider - Hospital | 9739081142 | Practice locations: Daytona Beach, FL |
National Provider Directory
- Tax ID family
- Peter J Milazzo MD
- Part of
- Peter J Milazzo MD
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 4201 | FL | Yes |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
770 W Granada Blvd Ste 203
Ormond Beach, FL 32174-5179
Phone (386) 231-4610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010186900 | Medicaid | FL | |
| 5000085 | Other | FL | UHC |
| 6201455 | Other | FL | AETNA PPO |
| 671569 | Other | FL | AETNA HMO |
| Y20 | Other | FL | BLUE CROSS INPATIENT |
| 334 | Other | FL | BLUE CROSS OUTPATIENT |
Other names
- AdventHealth Daytona Beach
- Florida Hospital Oceanside
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | HIH |
| CONNECT URL | https://www.mettles.com/ | Other |
Other providers in Daytona Beach, FL
- Chandler Melton
- William Z Melvin
- Memorial Health Systems Inc
- Memorial Health Systems Inc
- Memorial Health Systems Inc
- Memorial Health Systems Inc
- Memorial Health Systems Inc.
- Memorial Health Systems Inc.
- Milton Mendez
- Mendoza Behavioral Health LLC
All providers in Daytona Beach, FL · Rehabilitation Hospital Unit in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.