San Jose Health And Rehabilitation Center

LBN: Beauclerc Manor Health Care Associates Llc
San Jose Health And Rehabilitation Center is an health care organization with primary practice located at 9355 San Jose Blvd , Jacksonville FL 32257-5503. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Beauclerc Manor Health Care Associates Llc can be contacted via phone (904) 739-0877, or through Gamel, Gwendolyn S. via phone (904) 739-0877.

Contact Information

Primary practice address
9355 San Jose Blvd Jacksonville FL 32257-5503
Phone: (904) 739-0877
Fax: (904) 448-9253
Website:
Map and Directions
Authorized official contact:
Name: Gamel, Gwendolyn S.
Phone: (904) 739-0877

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1047096 Florida

Profile Details

NPI number 1134174451
LBN Legal business name Beauclerc Manor Health Care Associates Llc
DBA Doing business as San Jose Health And Rehabilitation Center
Authorized official Gamel, Gwendolyn S.
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated May 26th, 2013 - about 13 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 1134174451 NPPES
Florida MEDICAID 025205100

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