GOVERNOR'S CREEK HEALTH AND REHABILITATION
NPI 1124073622
Skilled Nursing Facility in Green Cove Springs, FL

NPI Status: Active since May 23, 2006

Contact Information

803 OAK ST
GREEN COVE SPRINGS, FL
ZIP 32043
Phone: (904) 284-5606
Fax: (904) 284-0392

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  • Organization
  • Skilled Nursing Facility

About GOVERNOR'S CREEK HEALTH AND REHABILITATION

This page provides the complete NPI Profile along with additional information for Governor's Creek Health And Rehabilitation, a provider established in Green Cove Springs, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1124073622 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number SNF1181096 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Governor's Creek Health And Rehabilitation. The authorized official of this NPI record is Linda F. Howard (Manager)

NPI
1124073622
Provider Legal Name
OAK TERRACE HEALTH CARE ASSOCIATES LLC
Other Organization Name
GOVERNOR'S CREEK HEALTH AND REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
803 OAK ST GREEN COVE SPRINGS, FL 32043
Location Phone
(904) 284-5606
Location Fax
(904) 284-0392
Mailing Address
803 OAK ST GREEN COVE SPRINGS, FL 32043
Mailing Phone
(904) 284-5606
Mailing Fax
(904) 284-0392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
08-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
SNF1181096
License State
FL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA F. HOWARD

Authorized Official Title
MANAGER
Authorized Official Phone
(904) 284-5606

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
025238700MEDICAID (05)FL 
105663MEDICARE OSCAR/CERTIFICATION (06) 

Reviews for GOVERNOR'S CREEK HEALTH AND REHABILITATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124073622
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214407664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 7 + 6 + 6 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1124073622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396049417GREGORY ALBRECHT PA
Organization
Podiatrist803 OAK ST
GREEN COVE SPRINGS, FL 32043
(954) 559-8608
1558632737MRS. REBECCA TOPP
Individual
Speech-Language Pathologist803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1316218365MISS KIMBERLY REA HAYES PTA
Individual
Physical Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1780955724GENESIS REHAB
Organization
Skilled Nursing Facility803 OAK ST
GREEN COVE SPRINGS, FL 32043
(902) 284-5606
1003187949MS. VESMINA L VANTA RPT
Individual
Physical Therapist (Geriatrics)803 OAK ST GOVERNORS CREEK HEALTH AND REHAB
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1437421112MRS. TASHA LYNN SANFIEL PTA
Individual
Physical Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1598037988MRS. KRISTI RESSE WILLIAMS MS OTR/L
Individual
Occupational Therapist803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1861759680 DONNA JANE REYNOLDS RPT
Individual
Physical Therapist803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-6232
1689010845MS. DENISE MICHELLE DAVIDSON COTA/L
Individual
Occupational Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1790107449 GRACE CARTER
Individual
Physical Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1316350986 SAMANTHA WAITE
Individual
Occupational Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5568
1972903888 RYAN CIRO PERRETTI
Individual
Occupational Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(631) 672-1507
1841682440 KELLI LAYTON
Individual
Physical Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1295106102MRS. BRITTANY CLARK
Individual
Occupational Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5568
1659736171 KRIS MICHELE WHITE PTA
Individual
Physical Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(864) 423-1667
1760849822 WHITNEY MICHELLE IRWIN COTA/L
Individual
Occupational Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5568
1336782028 RAUL LAZARO VEGA PTA
Individual
Physical Therapy Assistant803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1073285060GREEN COVE FACILITY OPERATIONS LLC
Organization
Skilled Nursing Facility803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1033540711MRS. AMY BARTOLOMEI HUTTO MS CCC-SLP
Individual
Speech-Language Pathologist803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606
1356610091803 OAK STREET OPERATIONS LLC
Organization
Skilled Nursing Facility803 OAK ST
GREEN COVE SPRINGS, FL 32043
(904) 284-5606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124073622, enumerated in the NPI registry as an "organization" on May 23, 2006

The provider is located at 803 Oak St Green Cove Springs, Fl 32043 and the phone number is (904) 284-5606

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.