NPIMap

Organization Active NPI

Naval Continuing Care Retirement Foundation Incorporated

  • Skilled Nursing Facility
  • Atlantic Beach, FL
National Provider Identifier
1992767057
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF11510961 Issued in FL
Legal business name
NAVAL CONTINUING CARE RETIREMENT FOUNDATION INCORPORATED
Practice address
1 Fleet Landing Blvd
Atlantic Beach, FL 32233-4599
Phone
(904) 246-9900
Fax
(904) 246-9566
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mr. Joshua Ashby, M.B.A.
Title
Director of Health Care Services
Phone
(904) 246-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF11510961 FL Primary

Addresses

Primary practice location

1 Fleet Landing Blvd
Atlantic Beach, FL 32233-4599

Mailing address

1 Fleet Landing Blvd
Atlantic Beach, FL 32233-4599
Phone (904) 246-9900

Other names 1

  • Fleet Landing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000511 FL Part A Provider - Skilled Nursing Facility 0840371597 Practice locations: Atlantic Beach, FL

Skilled nursing facility certification: CCN 105743

Legal name
NAVAL CONTINUING CARE RETIREMENT FOUNDATION, INC
Doing business as
FLEET LANDING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 30, 1991
Last certification
Aug 3, 2023
Beds
100
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
One Fleet Landing Blvd
Fleet Landing
Atlantic Beach, FL 32233-4599
Nursing home name
FLEET LANDING

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fleet LandingCCN 105743
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 30, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10043.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Naval Continuing Care Retirement Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Cynthia Hack Individual Operational/Managerial ControlController Mar 12, 2012
Adp of the SNF Mar 12, 2012
Ashley Allen-Cordero Individual Operational/Managerial Control Mar 9, 2023
Adp of the SNF Mar 9, 2023
Joshua Ashby Individual Corporate OfficerSecretary Dec 1, 2013 7.14%
Corporate DirectorDirector Dec 1, 2013 7.14%
Operational/Managerial ControlCeo Sep 1, 2010 100%
Naval Continuing Care Retirement Foundation, Inc Organization, Atlantic Beach, FL Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 2, 1991 100%
Vivian Larose Individual Operational/Managerial Control Aug 13, 2019
Adp of the SNF Aug 13, 2019
Joseph Mitrick Individual Corporate OfficerVice Chair Jan 24, 2024
Operational/Managerial Control Jan 24, 2024
Mark a Messinese Individual Adp of the SNF Sep 1, 2018
Polaris Endeavors, Inc. Organization, Atlantic Beach, FL Corporation, Holding company 5% Or Greater Direct Ownership Interest Sep 30, 2022 100%
5% Or Greater Indirect Ownership Interest Sep 30, 2022 100%
William Struck Individual Corporate OfficerTreasurer Jun 15, 2021
Operational/Managerial Control Jun 15, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1992767057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FLEET LANDING BLVD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334599",
            "telephone_number": "904-246-9900",
            "fax_number": "904-246-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLEET LANDING BLVD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334599",
            "telephone_number": "904-246-9900",
            "fax_number": "904-246-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL CONTINUING CARE RETIREMENT FOUNDATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH CARE SERVICES",
        "authorized_official_telephone_number": "904-246-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11510961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fleet Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic Beach, FL

Sources for this page

Verify at the official NPI Registry.