Active NPI
Fair Havens Opco LLC
- Skilled Nursing Facility
- Miami Springs, FL
National Provider Identifier
1003382987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FAIR HAVENS OPCO LLC
- Practice address
- 201 Curtiss Pkwy
Miami Springs, FL 33166-5222 - Phone
- (305) 887-1565
- NPI assigned
- Oct 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Bengio
- Title
- Cfo
- Phone
- (954) 300-3878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
201 Curtiss Pkwy
Miami Springs, FL 33166-5222
Mailing address
201 Curtiss Pkwy
Miami Springs, FL 33166-5222
Phone (305) 887-1565
Other names 1
- MIAMI SPRINGS NURSING AND REHABILITATION CENTER
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181218004150 | FL | Part A Provider - Skilled Nursing Facility | 3971848029 | Practice locations: Miami Springs, FL |
Skilled nursing facility certification: CCN 106128
- Legal name
- FAIR HAVENS OPCO, LLC
- Doing business as
- FAIR HAVENS CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 24, 2019
- Last certification
- May 8, 2025
- Beds
- 269
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Oct 12, 2018 in DE
- Enrollment address
- 201 Curtiss Pkwy
Miami Springs, FL 33166-5222 - Nursing home name
- MIAMI SPRINGS NURSING AND REHABILITATION CENTER
- Affiliated entity
- VENTURA SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Miami Springs Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 24, 2019
- Medicare certification status
- Active
- Certified beds
- 269
- Chain
- Ventura Services
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
- AL HMO D-SNP
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Agrp 2011 Trust | Trustee of the SNF | Jun 17, 2019 | |
| Adp of the SNF | Jun 17, 2019 | ||
| Indirect Ownership Interest | Jun 17, 2019 | 7.5% | |
| Fair Havens Intermediate Holdco, LLC | 5% Or Greater Direct Ownership Interest | Oct 12, 2018 | 100% |
| Jeremie Paritzky | Operational/Managerial Control | Jun 17, 2019 | |
| Indirect Ownership Interest | Jun 17, 2019 | 55% | |
| Jacob Bengio | Operational/Managerial Control | Jun 17, 2019 | |
| Jose a Suarez | Operational/Managerial Control | Mar 31, 2025 | |
| Adp of the SNF | Mar 31, 2025 | ||
| Deborah Philipson 2011 Family Trust | Trustee of the SNF | Jun 17, 2019 | |
| Adp of the SNF | Jun 17, 2019 | ||
| Indirect Ownership Interest | Jun 17, 2019 | 7.5% | |
| Ventura Services - Florida, LLC | Adp of the SNF | Jun 17, 2019 | |
| Richards Mitchell & Cross PA | Adp of the SNF | Jun 17, 2019 | |
| Sandor a Romero | Adp of the SNF | Oct 1, 2024 | |
| Philipson Family Limited Liability Company, LLC | Adp of the SNF | Jun 17, 2019 | |
| Indirect Ownership Interest | Jun 17, 2019 | 15% | |
| Daniel Schaffer | Operational/Managerial Control | Jun 17, 2019 | |
| Indirect Ownership Interest | Jun 17, 2019 | 30% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Miami Lakes, FL
- NPI 1043600414
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1003382987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CURTISS PKWY",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331665222",
"telephone_number": "305-887-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CURTISS PKWY",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331665222",
"telephone_number": "305-887-1565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR HAVENS OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-18",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "BENGIO",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "954-300-3878"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MIAMI SPRINGS NURSING AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.