REGENTS PARK OF JACKSONVILLE
NPI 1548264096
Skilled Nursing Facility in Jacksonville, FL

Active since June 10, 2005CLIA 10D0718268 · Waiver
7130 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256(904) 642-7300(904) 641-7977 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Regents Park Of Jacksonville NPPES

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

REGENTS PARK OF JACKSONVILLE (NPI 1548264096) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Howard Jaffe, President, as its authorized official.

NPPES Registry Identity

NPI1548264096
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameISLF-DEERWOOD PLACE-JACKSONVILLE LLC
Location Address7130 SOUTHSIDE BLVDJacksonville, FL 32256-7086
Mailing Address1675 Palm Beach Lakes Blvd, Suite 900West Palm Beach, FL 33401 · (561) 801-7600 · Fax (414) 268-4811
Fax(904) 641-7977
Organization SubpartNo
Authorized OfficialHoward JaffePresident · (215) 346-6454
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
NPI 1548264096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF1467096
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.
7130 SOUTHSIDE BLVD, Jacksonville, FL 32256

Other Names 1

Doing Business AsRegents Park Of Jacksonville

Other Identifiers 1

Medicaid026972700FL

Accepted 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 10D0718268

Regents Park Of Jacksonville · Jacksonville, FL
Active · expires Aug 31, 2028
CLIA Number10D0718268
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDedra Mackey-Sneed
Laboratory Phone(904) 642-7300
Laboratory LocationRegents Park Of Jacksonville8700 Ac Skinner Parkway, Jacksonville, FL 32256
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Islf-Deerwood Place-Jacksonville LLC's NPI number?

The NPI number for Islf-Deerwood Place-Jacksonville LLC is 1548264096. It was assigned to this organization in the NPPES registry on June 10, 2005. The provider is doing business as Regents Park Of Jacksonville.

Where is Islf-Deerwood Place-Jacksonville LLC located?

Islf-Deerwood Place-Jacksonville LLC is located at 7130 Southside Blvd, Jacksonville, FL 32256. The listed phone number is (904) 642-7300.

What is Islf-Deerwood Place-Jacksonville LLC's specialty?

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

Does Islf-Deerwood Place-Jacksonville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0718268) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Islf-Deerwood Place-Jacksonville LLC accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Islf-Deerwood Place-Jacksonville 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 Islf-Deerwood Place-Jacksonville LLC was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.