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Jacksonville Facility Operations, LLC

Jacksonville Facility Operations, LLC is a healthcare organization registered as Skilled Nursing Facility in Jacksonville, FL, holding Type 2 (organization) NPI 1063435014 since 2006. The authorized official on file is Kenneth Ussery, Vp.

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NPI 1063435014
Entity type Organization (Type 2)
Legal business name Jacksonville Facility Operations, LLC
Other name <Unavail>
Practice address 4101 SOUTHPOINT DR E, Jacksonville, FL, 32216
Phone 9042966800
Fax 9042961398
Enumeration date 2006-07-25
Last updated in NPPES 2021-12-22

Authorized official

Name Kenneth Ussery
Title Vp
Phone 4075711550

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary SNF1647096 FL

Other identifiers

Identifier Type State Issuer
008038400 Medicaid FL
Copy-ready billing details
Provider: Jacksonville Facility Operations, LLC
NPI: 1063435014
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 4101 SOUTHPOINT DR E, Jacksonville, FL, 32216

Providers at this address

NPI Name Type Specialty Location
1982644712 Tandem Health Care of Jacksonville, Inc. Organization Skilled Nursing Facility Jacksonville, FL
1124132980 Natalie Miller Individual Physical Therapy Assistant Jacksonville, FL
1821115288 Lisa Anderson Individual Physical Therapist Jacksonville, FL
1851562086 Touhfa Cokus Individual Physical Therapist Jacksonville, FL
1992947428 Cheryl Young Individual Occupational Therapist Jacksonville, FL
1083953624 Michelle Sapia Individual Occupational Therapist Jacksonville, FL
1548509136 Diane Decosty Individual Occupational Therapy Assistant Jacksonville, FL
1528307063 Mateka Boyle Individual Speech-Language Pathologist Jacksonville, FL

Verify this record

Cross-check NPI 1063435014 against the authoritative CMS record: view Jacksonville Facility Operations, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jacksonville Facility Operations, LLC located?
The practice location on file with NPPES is in Jacksonville, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-22.