Orange City Nursing & Rehab Center – Skilled Nursing Facility, NPI 1285621987

Orange City Nursing & Rehab Center is a healthcare provider. based in Atlanta, Georgia. specializing in Skilled Nursing Facility. The organization holds a License No. SNF1464096 (FL). The NPI Number for Orange City Nursing & Rehab Center is 1285621987

Main info

Organization
Name
Orange City Nursing & Rehab Center
NPI
1285621987
Phone
(404) 574-2100
Address
5887 GLENRIDGE DR
Authorized Official
MR. R. MARK CRONQUIST MANAGER
Enumeration Date
29 September 2005
Last Update Date
24 September 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Orange City Nursing & Rehab Center

  • Atlanta Phone Guru, 5825, Glenridge Drive Northeast, Sandy Springs, Fulton County, Georgia, 30328, United States

    SUITE 150

    ATLANTA, GA 303285574

    Phone: (404) 574-2100

    Fax: (404) 574-2105

    Type: Mailing

  • 2810, Enterprise Road, DeBary, Volusia County, Florida, 32763, United States

    DEBARY, FL 327132703

    Phone: (386) 668-8818

    Fax: (386) 668-6510

    Type: Location

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: 2003-09-03

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
O20030903000013OSkilled 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 30328)

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Reviews

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Frequently asked questions

How do payers reference Orange City Nursing & Rehab Center?
For Orange City Nursing & Rehab Center, use NPI 1285621987 as the unique 10-digit identifier.
Is Orange City Nursing & Rehab Center still an active registrant?
Orange City Nursing & Rehab Center carries an active NPI according to the public dataset.
How would a patient describe Orange City Nursing & Rehab Center's focus?
For Orange City Nursing & Rehab Center, the primary taxonomy reads as Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Is Orange City Nursing & Rehab Center associated with Atlanta?
Public fields place Orange City Nursing & Rehab Center around Atlanta, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Orange City Nursing & Rehab Center is noted as September 29, 2005 where the registry provides it.

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