Active NPI
Dolphin Pointe Health Care, LLC
- Skilled Nursing Facility
- Jacksonville, FL
National Provider Identifier
1992336895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DOLPHIN POINTE HEALTH CARE, LLC
- Practice address
- 5355 Dolphin Point Rd.
Jacksonville, FL 32211 - Phone
- (231) 202-4563
- NPI assigned
- Jan 29, 2020
- 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
- Mrs. Denise Marie Nelson
- Title
- Vice President of Finance
- Phone
- (937) 434-8820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5355 Dolphin Point Rd.
Jacksonville, FL 32211
Mailing address
1371 W Rahn Rd
Dayton, OH 45459-1431
Phone (937) 434-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200317002347 | FL | Part A Provider - Skilled Nursing Facility | 7416385869 | Practice locations: Jacksonville, FL |
Skilled nursing facility certification: CCN 106135
- Legal name
- DOLPHIN POINTE HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 31, 2020
- Last certification
- Feb 15, 2024
- Beds
- 146
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Clear Choice
- Organization structure
- LLC
- Incorporated
- Aug 20, 2014 in FL
- Enrollment address
- 5355 Dolphin Point Blvd
Jacksonville, FL 32211-3221 - Nursing home name
- DOLPHIN POINTE HEALTH CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Dolphin Pointe Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 31, 2020
- Medicare certification status
- Active
- Certified beds
- 146
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2181185 | Dolphin Pointe Health Care LLC | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Jeffrey Cleveland | 5% Or Greater Indirect Ownership Interest | Jul 15, 2016 | 20% |
| Fifth Third Bank | 5% Or Greater Mortgage Interest | Feb 24, 2017 | 63% |
| Dolphin Pointe Medical Investors, LLC I | 5% Or Greater Direct Ownership Interest | Jul 15, 2016 | 20% |
| Geoffrey Fraser | 5% Or Greater Indirect Ownership Interest | Jul 15, 2016 | 20% |
| Corporate Officer | Jul 15, 2016 | 20% | |
| Corporate Director | Jul 15, 2016 | 20% | |
| Operational/Managerial Control | Jul 16, 2016 | 20% | |
| Dolphin Pointe Medical Investors, LLC II | 5% Or Greater Direct Ownership Interest | Jul 15, 2016 | 20% |
| Adp of the SNF | Jan 8, 2026 | ||
| Jason Kallen | Adp of the SNF | Dec 4, 2025 | |
| Dolphin Pointe Medical Investors, LLC III | 5% Or Greater Direct Ownership Interest | Jul 15, 2016 | 20% |
| Denise Nelson | Corporate Officer | Jul 15, 2016 | 40% |
| Corporate Director | Jul 15, 2016 | 40% | |
| Sean Nelson | 5% Or Greater Indirect Ownership Interest | Jul 15, 2016 | 20% |
| Olt II, Inc | 5% Or Greater Direct Ownership Interest | Jul 15, 2016 | 40% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1861699753
Nursing home
-
- Pulmonary Disease Physician
- Jacksonville Beach, FL
- NPI 1336293620
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580256000000",
"number": "1992336895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 W RAHN RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454591431",
"telephone_number": "937-434-8820",
"fax_number": "937-434-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 DOLPHIN POINT RD.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32211",
"telephone_number": "231-202-4563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLPHIN POINTE HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "937-434-8820",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 29, 2020; 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.