Summer Brook Health Care Center

LBN: Northern Jacksonville Acquisitions, Llc
Summer Brook Health Care Center is an health care organization with primary practice located at 5377 Moncrief Rd , Jacksonville FL 32209-3159. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Northern Jacksonville Acquisitions, Llc can be contacted via phone (786) 207-2108, or through Greenwald, Michael via phone (786) 207-2108.

Contact Information

Primary practice address
5377 Moncrief Rd Jacksonville FL 32209-3159
Phone: (786) 207-2108
Fax: (866) 293-2100
Website:
Map and Directions
Authorized official contact:
Name: Greenwald, Michael
Phone: (786) 207-2108

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Florida
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Florida

Profile Details

NPI number 1538418249
LBN Legal business name Northern Jacksonville Acquisitions, Llc
DBA Doing business as Summer Brook Health Care Center
Authorized official Greenwald, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2012
Last updated Dec 20th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538418249 NPPES
Florida MEDICAID 005978300
Florida Other 10-5138

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