Fernandina Beach Rehab, LLC
NPI 1073174082 · Skilled Nursing Facility · Fernandina Beach, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fernandina Beach Rehab, LLC is a Skilled Nursing Facility organization in Fernandina Beach, FL (NPI 1073174082).
Provider details
- NPI number
- 1073174082
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Gutman, Authorized Signer(718) 852-7000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fernandina Beach Rehabilitation and Nursing Center
Registry dates
- Enumerated
- 2019-06-21
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Fernandina Beach Rehab, LLC's NPI number?
- Fernandina Beach Rehab, LLC's National Provider Identifier (NPI) is 1073174082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fernandina Beach Rehab, LLC?
- Fernandina Beach Rehab, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fernandina Beach Rehab, LLC located?
- Fernandina Beach Rehab, LLC's practice location on file with NPPES is 1625 Lime St, Fernandina Beach, FL 32034-3017.
- What is Fernandina Beach Rehab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fernandina Beach Rehab, LLC is (904) 261-0771.
- Does Fernandina Beach Rehab, LLC accept Medicare?
- Fernandina Beach Rehab, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fernandina Beach Rehab, LLC?
- The authorized official listed on Fernandina Beach Rehab, LLC's NPPES record is Samuel Gutman, Authorized Signer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fernandina Beach Rehab, LLC's NPI active?
- Yes — Fernandina Beach Rehab, LLC's NPI (1073174082) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.