Organization Active NPI

SB Opco LLC

Doing business as Jacksonville Center for Rehabilitation and Healing

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1932868866
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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)CodeLicenseStatePrimary
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 Doing business as
  • Jacksonville Center for Rehabilitation and Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 NursingCCN 105138 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 9, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
SB Opco Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2022 100%
Susana Furtado Individual W-2 Managing Employee Feb 1, 2022 100%
Abraham Kraus Individual 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.

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

Verify at the official NPI Registry.