Regents Park Of Jacksonville

LBN: Islf-Deerwood Place-Jacksonville Llc
Regents Park Of Jacksonville is an health care organization with primary practice located at 7130 Southside Blvd , Jacksonville FL 32256-7086. 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. Islf-Deerwood Place-Jacksonville Llc can be contacted via phone (904) 642-7300, or through Jaffe, Howard via phone (215) 346-6454.

Contact Information

Primary practice address
7130 Southside Blvd Jacksonville FL 32256-7086
Phone: (904) 642-7300
Fax: (904) 641-7977
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, Howard
Phone: (215) 346-6454

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1467096 Florida

Profile Details

NPI number 1548264096
LBN Legal business name Islf-Deerwood Place-Jacksonville Llc
DBA Doing business as Regents Park Of Jacksonville
Authorized official Jaffe, Howard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Aug 9th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548264096 NPPES
Florida MEDICAID 026972700

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