Boynton Beach Rehabilitation Center – Skilled Nursing Facility, NPI 1396732012

Boynton Beach Rehabilitation Center is a healthcare provider. based in Atlanta, Georgia. specializing in Skilled Nursing Facility. The organization holds a License No. SNF14590961 (FL). The NPI Number for Boynton Beach Rehabilitation Center is 1396732012

Main info

Organization
Name
Boynton Beach Rehabilitation Center
NPI
1396732012
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 Boynton Beach Rehabilitation 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

  • 9600, Lawrence Road, Boynton Beach, Palm Beach County, Florida, 33436, United States

    BOYNTON BEACH, FL 334363300

    Phone: (561) 740-4100

    Fax: (561) 740-4200

    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: 2003-09-10

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
O20030910000045OSkilled 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

Does Boynton Beach Rehabilitation Center have a public NPI I can cite?
Public records show Boynton Beach Rehabilitation Center under NPI 1396732012.
Should I treat Boynton Beach Rehabilitation Center as an active provider?
Patients and plans typically see Boynton Beach Rehabilitation Center as active in the national extract.
What services align with Boynton Beach Rehabilitation Center's listing?
Boynton Beach Rehabilitation Center's public classification highlights Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Which community is linked to Boynton Beach Rehabilitation Center?
Boynton Beach Rehabilitation Center shows a connection to Atlanta, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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