OrganizationActive
Bedrock Hcs at Daytona Fl LLC
NPI 1124656202 · Skilled Nursing Facility · Daytona Beach, FL
Provider details
- NPI number
- 1124656202
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Esther Tillim, Controller(732) 328-7499
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
595 N Williamson Blvd
Daytona Beach, FL 32114-7185
Phone: (732) 328-7499
Street-level locationGet directions
Mailing address
792 Vine Ave Bsmt
Lakewood, NJ 08701-5340
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.