SUMMER BROOK FL SNF MANAGEMENT LLC
NPI 1114488996
Skilled Nursing Facility in Jacksonville, FL

NPI Status: Active since March 26, 2019

Contact Information

5377 MONCRIEF RD
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 768-1506

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About SUMMER BROOK FL SNF MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Summer Brook Fl Snf Management Llc, a provider established in Jacksonville, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1114488996 assigned on March 2019. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Cameron Marsh (Corporate Finance)

NPI
1114488996
Provider Name
SUMMER BROOK FL SNF MANAGEMENT LLC
Entity Type
Organization
Location Address
5377 MONCRIEF RD JACKSONVILLE, FL 32209
Location Phone
(904) 768-1506
Mailing Address
480 FENTRESS BLVD STE H DAYTONA BEACH, FL 32114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2019
Last Update Date
03-26-2019
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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
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:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

*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

CAMERON MARSH

Authorized Official Title
CORPORATE FINANCE
Authorized Official Phone
(386) 255-1054

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114488996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 8 + 8 + 1 + 6 + 9 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114488996.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nursing Facility/Intermediate Care Facility
5377 MONCRIEF RD
JACKSONVILLE, FL 32209
Skilled Nursing Facility
5377 MONCRIEF RD
JACKSONVILLE, FL 32209
Skilled Nursing Facility
5377 MONCRIEF RD
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114488996, enumerated as an "organization" on March 26, 2019.

The provider is located at 5377 MONCRIEF RD JACKSONVILLE, FL 32209 and the phone number is (904) 768-1506.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.