Organization Active NPI

Readmission Rehab, LLC

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
National Provider Identifier
1962386185
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
READMISSION REHAB, LLC
Practice address
3270 Suntree Blvd Ste 208
Melbourne, FL 32940-7505
Phone
(321) 403-6356
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Kamen Eran Jenkins
Title
President
Phone
(321) 403-6356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3270 Suntree Blvd Ste 208
Melbourne, FL 32940-7505

Mailing address

3802 San Miguel LN
Rockledge, FL 32955-5376
Phone (321) 403-6356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1962386185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 SAN MIGUEL LN",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555376",
            "telephone_number": "321-403-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 208",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407505",
            "telephone_number": "321-403-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READMISSION REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KAMEN",
        "authorized_official_middle_name": "ERAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-403-6356"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.