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

1530 Broad Avenue Operations, LLC

Organization Skilled Nursing Facility · NPI 1306593900

1530 Broad Avenue Operations, LLC is a Skilled Nursing Facility in Gulfport, Mississippi. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2022.

CMS rating
1 of 5
In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 255092)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1530 Broad Ave
Gulfport, MS 39501-3601
Phone: (253) 278-2258
Fax: (228) 868-8544
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1306593900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Lehner — Manager · (770) 698-9040
Other names Coastal Health And Rehabilitation Center; Coastal Health And Rehabilitation Center
NPI enumeratedMarch 4, 2022
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address1530 Broad Ave, Gulfport, MS 39501-3601

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Gulfport