Daytona Beach Health & Rehabilitation Center – Skilled Nursing Facility, NPI 1205881646

Daytona Beach Health & Rehabilitation Center is a healthcare provider. based in Daytona beach, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. SNF11210961 (FL). The NPI Number for Daytona Beach Health & Rehabilitation Center is 1205881646

Main info

Organization
Name
Daytona Beach Health & Rehabilitation Center
NPI
1205881646
Phone
Not provided
Address
1055 3RD ST
Authorized Official
PHILLIP CODY LONG CFO
Enumeration Date
24 May 2006
Last Update Date
27 October 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Daytona Beach Health & Rehabilitation Center

  • 1055, 3rd Street, Daytona Beach, Volusia County, Florida, 32117, United States

    DAYTONA BEACH, FL 321174101

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060405000040OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32117)

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Reviews

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Frequently asked questions

Does Daytona Beach Health & Rehabilitation Center share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Daytona Beach Health & Rehabilitation Center uses 1205881646.
Can I rely on Daytona Beach Health & Rehabilitation Center being an active provider?
As of the registry snapshot, Daytona Beach Health & Rehabilitation Center is marked active.
What taxonomy line describes Daytona Beach Health & Rehabilitation Center?
For research purposes, treat Daytona Beach Health & Rehabilitation Center as Skilled Nursing Facility in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Daytona Beach Health & Rehabilitation Center on a map?
Expect Daytona Beach, Florida as a primary anchor for Daytona Beach Health & Rehabilitation Center unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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