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FERNANDINA BEACH REHAB, LLC
NPI 1073174082
Skilled Nursing Facility in Fernandina Beach, FL

Active since June 21, 2019CLIA 10D0022544 · Waiver
2/5
Overall Rating
1625 LIME ST, FERNANDINA BEACH, FL 32034(904) 261-0771 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2024, Jun 21, 2019 (2 updates tracked since 2019).

About Fernandina Beach Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERNANDINA BEACH REHAB, LLC (NPI 1073174082), doing business as Fernandina Beach Rehabilitation And Nursing Center, is a healthcare organization registered as a skilled nursing facility in Fernandina Beach, Florida and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel Gutman, Authorized Signer, as its authorized official.

NPPES Registry Identity

NPI1073174082
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFERNANDINA BEACH REHAB, LLC
Location Address1625 LIME STFernandina Beach, FL 32034-3017
Mailing Address1000 Gates AveBrooklyn, NY 11221-6295 · (718) 852-7000
Phone(904) 261-0771
Organization SubpartNo
Authorized OfficialSamuel GutmanAuthorized Signer · (718) 852-7000
Enumeration DateJune 21, 2019
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1073174082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
1625 LIME ST, Fernandina Beach, FL 32034
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Other Names 1

Doing Business AsFernandina Beach Rehabilitation And Nursing Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0022544

Fernandina Beach Rehab, LLC · Fernandina Beach, FL
Active · expires Aug 31, 2026
CLIA Number10D0022544
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJordan S. Hilton
Laboratory Phone(904) 261-0771
Laboratory LocationFernandina Beach Rehab, LLC1625 Lime Street, Fernandina Beach, FL 32034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Fernandina Beach Rehabilitation And Nursing Center (CMS certification number 105470), from CMS Care Compare.

Fernandina Beach Rehabilitation And Nursing Center

Nursing home · Fernandina Beach, FL
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number105470
Certified Beds120 beds107 residents per day on average
Medicare & Medicaid Participant SinceSeptember 1, 1984
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.11 · LPN 1.14 · RN 0.31
3.56 hrs per resident per day
Weekend Nurse Staffing
3.2 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
72%
Registered Nurse Turnover
80%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
0
Substantiated Complaints
2
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

M-K OF FERNANDINA BEACH
Skilled Nursing Facility
1625 LIME ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0771
LEANNE FINNIE
Physical Therapist
1625 LIME ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0771
JENNIFER JOAN RODRIGUES FNP
Nurse Practitioner (Family)
1625 LIME ST
FERNANDINA BEACH, FL 32034
Nassau County (872) 231-3162
MR. RICHARD ANTON SCHIANO ARNP FNP-BC
Nurse Practitioner (Family)
1625 LIME ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fernandina Beach Rehab, LLC's NPI number?

The NPI number for Fernandina Beach Rehab, LLC is 1073174082. It was assigned to this organization in the NPPES registry on June 21, 2019. The provider is doing business as Fernandina Beach Rehabilitation and Nursing Center.

Where is Fernandina Beach Rehab, LLC located?

Fernandina Beach Rehab, LLC is located at 1625 Lime St, Fernandina Beach, FL 32034. The listed phone number is (904) 261-0771.

What is Fernandina Beach Rehab, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fernandina Beach Rehab, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0022544) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fernandina Beach Rehab, LLC a Medicare-certified nursing home?

Yes. Fernandina Beach Rehabilitation And Nursing Center is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Fernandina Beach Rehab, LLC have?

CMS rates Fernandina Beach Rehabilitation And Nursing Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Fernandina Beach Rehab, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Fernandina Beach Rehab, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fernandina Beach Rehab, LLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.