NPIMap

Organization Active NPI

Northport Health Services of Florida, LLC

  • Skilled Nursing Facility
  • St Augustine, FL
National Provider Identifier
1922053917
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHPORT HEALTH SERVICES OF FLORIDA, LLC
Practice address
51 Sunrise Blvd
St Augustine, FL 32084-6216
Phone
(904) 824-4479
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Phillip Cody Long
Title
Cfo
Phone
(205) 391-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

51 Sunrise Blvd
St Augustine, FL 32084-6216

Mailing address

51 Sunrise Blvd
St Augustine, FL 32084-6216
Phone (904) 824-4479

Other identifiers 1

IdentifierTypeStateIssuer
021773500MedicaidFL

Other names 1

  • Saint Augustine Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000048 FL Part A Provider - Skilled Nursing Facility 4789692500 Practice locations: Saint Augustine, FL

Skilled nursing facility certification: CCN 105315

Legal name
NORTHPORT HEALTH SERVICES OF FLORIDA, LLC
Doing business as
ST. AUGUSTINE HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1977
Last certification
Sep 12, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
NHS Management of Florida, LLC
Organization structure
LLCProprietary
Incorporated
Feb 19, 1999 in FL
Enrollment address
51 Sunrise Blvd
Saint Augustine, FL 32084-6216
Nursing home name
ST AUGUSTINE HEALTH AND REHABILITATION CENTER
Affiliated entity
NHS MANAGEMENT

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Augustine Health and Rehabilitation CenterCCN 105315
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.6 residents per day on average
Chain
NHS Management43 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $26,685

Processed by Care Compare on Aug 1, 2026.

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
10D0860220St Augustine Health & Rehab Center51 Sunrise Blvd, Saint Augustine, FL 32084Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
James Norman Estes Jr TR Organization, Vestavia, AL 5% Or Greater Direct Ownership Interest Jun 30, 2013 6.25%
Lynn S Rasco Individual Corporate DirectorDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 25%
Operational/Managerial ControlDirector of Qa/Corp Compliance Ofcr Jul 1, 2022 25%
Thomas S Hughes Individual W-2 Managing EmployeeAdministrator Sep 17, 2021 100%
Operational/Managerial ControlAdministrator Sep 17, 2021 100%
Jennifer Lee Estes TR 031093 Organization, Vestavia, AL 5% Or Greater Direct Ownership Interest Jun 30, 2013 6.25%
Cheri L McVea Individual Corporate DirectorRegional Nurse Consultant Sep 27, 2021 25%
Operational/Managerial ControlRegional Nurse Consultant Sep 27, 2021 25%
James Norman Estes Individual 5% Or Greater Direct Ownership InterestPresident/Treasurer Feb 19, 1999 67.5%
Corporate OfficerPresident/Treasurer Feb 19, 1999 100%
Phillip Cody Long Individual Corporate OfficerVice President/Secretary Oct 1, 2019
Other Jan 1, 2022 32.5%
Jennifer E Agee Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Direct Ownership Interest Sep 30, 2019 10%
James N Estes Jr Family Dynasty TR No 2 Organization, Tuscaloosa, AL 5% Or Greater Direct Ownership Interest Sep 30, 2019 10%
Regions Bank Organization, Birmingham, AL Financial institution 5% Or Greater Security Interest Aug 27, 2013 15.62%
Brandon S. Agee Individual Other Jan 1, 2022 32.5%
Darin Toney Individual Corporate DirectorRegional Administrator Apr 15, 2024 25%
Operational/Managerial ControlRegional Administrator Apr 15, 2024 25%
NHS Management LLC Organization, Tuscaloosa, AL LLC Other Jun 1, 2007
Julie W. Schneider Individual Corporate DirectorRegional Nurse Consultant Apr 21, 2023 25%
Operational/Managerial ControlRegional Nurse Consultant Apr 21, 2023 25%

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1922053917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SUNRISE BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846216",
            "telephone_number": "904-824-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SUNRISE BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846216",
            "telephone_number": "904-824-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT HEALTH SERVICES OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021773500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Augustine Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Augustine Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.