NPIMap

Organization Active NPI

Wekiva Springs Center LLC

  • Psychiatric Hospital
  • Jacksonville, FL
National Provider Identifier
1942471065
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
WEKIVA SPRINGS CENTER LLC
Practice address
3947 Salisbury Rd
Jacksonville, FL 32216-6115
Phone
(904) 296-3533
Fax
(904) 296-3536
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Psychiatric Hospital 283Q00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3947 Salisbury Rd
Jacksonville, FL 32216-6115

Mailing address

3947 Salisbury Rd
Jacksonville, FL 32216-6115
Phone (904) 296-3533

Other names 1

  • Wekiva Springs Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080318000146 FL Part A Provider - Hospital 0042395931 Practice locations: Jacksonville Beach, FL; Jacksonville, FL
O20140818001428 FL Part B Supplier - Clinic/Group Practice 0042395931 Receives reassigned benefits from 30 practitioners
Practice locations: Jacksonville, FL; Jacksonville Beach, FL

Hospital certification: CCN 104069

Legal name
WEKIVA SPRINGS CENTER LLC
Doing business as
WEKIVA SPRINGS CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 30, 2006
Last certification
Apr 10, 2019
Beds
120
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2008 (1 total)
Organization structure
LLCProprietary
Incorporated
Apr 28, 2006 in DE
Enrollment address
3947 Salisbury Road North
Jacksonville, FL 32216-6115
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Wekiva SpringsCCN 104069
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Premier Behavioral Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Apr 28, 2006 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Sheila a Carr Individual Corporate OfficerCeo Nov 15, 2010 100%
Steve Filton Individual Corporate OfficerVice President, Board Member Nov 15, 2013 100%
Corporate DirectorVice President, Board Member Nov 15, 2010 33.33%
Operational/Managerial ControlVice President, Board Member Nov 15, 2010 100%
Jessica C Lamanna Individual Contracted Managing EmployeeAssociate General Counsel Jan 15, 2013 50%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Operational/Managerial ControlTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Elise N Dumo Individual Contracted Managing EmployeeCfo Sep 30, 2024
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 28, 2006 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestBoard Member Mar 18, 2024 87.4%

Facilities with the same owner 172

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

View all 172

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1942471065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166115",
            "telephone_number": "904-296-3533",
            "fax_number": "904-296-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166115",
            "telephone_number": "904-296-3533",
            "fax_number": "904-296-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEKIVA SPRINGS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wekiva Springs Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.