Organization Active NPI

H2 Rehabilitation Services of Florida, LLC

  • Rehabilitation Clinic/Center
  • Saint Marys, GA
National Provider Identifier
1851661045
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
H2 REHABILITATION SERVICES OF FLORIDA, LLC
Practice address
916 Kingsbay Rd Ste B
Saint Marys, GA 31558-3745
Phone
(912) 576-3802
Fax
(912) 576-3930
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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

Authorized official

Name
Amanda Streeter
Title
Vice President
Phone
(800) 699-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

916 Kingsbay Rd Ste B
Saint Marys, GA 31558-3745

Mailing address

484 Riverside Ave # a
Jacksonville, FL 32202-4912

Other names 1

  • H2 Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121206000615 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971411851 Practice locations: Saint Marys, GA
O20250508000524 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971411851 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Marys, GA

National Provider Directory

National Provider Directory
Tax ID family
H2 Health41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

484 Riverside Ave
#A
Jacksonville, FL 32202

916 Kingsbay Rd
Ste B
Saint Marys, GA 31558
Phone (912) 576-3802

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 260

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 260

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1851661045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 RIVERSIDE AVE # A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 KINGSBAY RD STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583745",
            "telephone_number": "912-576-3802",
            "fax_number": "912-576-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2 REHABILITATION SERVICES OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.