San Jose Health And Rehabilitation Center
LBN: Beauclerc Manor Health Care Associates Llc
San Jose Health And Rehabilitation Center is an health care organization with primary practice located at 9355 San Jose Blvd , Jacksonville FL 32257-5503. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Beauclerc Manor Health Care Associates Llc can be contacted via phone (904) 739-0877, or through Gamel, Gwendolyn S. via phone (904) 739-0877.
Contact Information
Primary practice address
9355 San Jose Blvd
Jacksonville FL 32257-5503
Phone: (904) 739-0877
Fax: (904) 448-9253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | SNF1047096 | Florida |
Profile Details
| NPI number | 1134174451 |
|---|---|
| LBN Legal business name | Beauclerc Manor Health Care Associates Llc |
| DBA Doing business as | San Jose Health And Rehabilitation Center |
| Authorized official | Gamel, Gwendolyn S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | May 26th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134174451 | NPPES |
| Florida | MEDICAID | 025205100 |
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