Terrace of Jacksonville LLC
NPI 1710305586ActiveOrganization· Skilled Nursing Facility· Jacksonville, FL
Skilled Nursing Facility in Jacksonville, Florida, registered in NPPES in March 2014. The authorized official on file is Misty Degross, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1710305586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2014 |
| Last updated in NPPES | Oct 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | SNF13060961 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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