Active NPI
SB Opco LLC
Doing business as Jacksonville Center for Rehabilitation and Healing
- Skilled Nursing Facility
- Jacksonville, FL
National Provider Identifier
1932868866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SB OPCO LLC
- Doing business as
- Jacksonville Center for Rehabilitation and Healing
Jacksonville Center for Rehabilitation and Healthcare - Practice address
- 5377 Moncrief Rd
Jacksonville, FL 32209-3159 - Phone
- (904) 768-1506
- NPI assigned
- Dec 8, 2021
- Last updated
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Kraus
- Title
- Member
- Phone
- (732) 352-3943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
5377 Moncrief Rd
Jacksonville, FL 32209-3159
Mailing address
211 Boulevard of the Americas
Suite 209
Lakewood, NJ 08701
Other names 2
- Jacksonville Center for Rehabilitation and Healing
- Jacksonville Center for Rehabilitation and Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220221002208 | FL | Part A Provider - Skilled Nursing Facility | 1456745272 | Practice locations: Jacksonville, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932868866. Details of each certification follow.
Skilled nursing facility certification: CCN 105138
- Legal name
- SB OPCO LLC
- Doing business as
- JACKSONVILLE CENTER FOR REHABILITATION AND HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 9, 1967
- Last certification
- Jul 25, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Nov 12, 2021 in DE
- Enrollment address
- 5377 Moncrief Rd
Jacksonville, FL 32209-3159
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jacksonville Rehabilitation and Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 9, 1967
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| SB Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 1, 2022 | 100% |
| Susana Furtado | W-2 Managing Employee | Feb 1, 2022 | 100% |
| Abraham Kraus | 5% Or Greater Indirect Ownership Interest | Feb 1, 2022 | 100% |
| Corporate Officer | Feb 1, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1861699753
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1932868866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BOULEVARD OF THE AMERICAS",
"address_2": "SUITE 209",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5377 MONCRIEF RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322093159",
"telephone_number": "904-768-1506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SB OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "KRAUS",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-352-3943"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jacksonville Center for Rehabilitation and Healing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jacksonville Center for Rehabilitation and Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.