1530 Broad Avenue Operations, LLC
NPI 1306593900 · Skilled Nursing Facility · Gulfport, MS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
1530 Broad Avenue Operations, LLC is a Skilled Nursing Facility organization in Gulfport, MS (NPI 1306593900).
Provider details
- NPI number
- 1306593900
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Lehner, Manager(770) 698-9040
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
4 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
- Coastal Health and Rehabilitation Center
- Doing business as
- Coastal Health and Rehabilitation Center
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is 1530 Broad Avenue Operations, LLC's NPI number?
- 1530 Broad Avenue Operations, LLC's National Provider Identifier (NPI) is 1306593900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1530 Broad Avenue Operations, LLC?
- 1530 Broad Avenue Operations, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 1530 Broad Avenue Operations, LLC located?
- 1530 Broad Avenue Operations, LLC's practice location on file with NPPES is 1530 Broad Ave, Gulfport, MS 39501-3601.
- What is 1530 Broad Avenue Operations, LLC's phone number?
- The practice phone number listed in the NPPES registry for 1530 Broad Avenue Operations, LLC is (253) 278-2258.
- Does 1530 Broad Avenue Operations, LLC accept Medicare?
- 1530 Broad Avenue Operations, 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 1530 Broad Avenue Operations, LLC?
- The authorized official listed on 1530 Broad Avenue Operations, LLC's NPPES record is Tim Lehner, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1530 Broad Avenue Operations, LLC's NPI active?
- Yes — 1530 Broad Avenue Operations, LLC's NPI (1306593900) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.