Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Ridge Nursing & Rehab Center LLC

Organization Skilled Nursing Facility · NPI 1114880044

Park Ridge Nursing & Rehab Center LLC is a Skilled Nursing Facility in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

730 College St
Jacksonville, FL 32204-3313
Phone: (270) 594-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1114880044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moshe Kelman — Member · (917) 613-1662
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address730 College St, Jacksonville, FL 32204-3313

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