Organization Active NPI

Waterford Opco LLC

  • Skilled Nursing Facility
  • Hialeah, FL
National Provider Identifier
1003543125
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WATERFORD OPCO LLC
Practice address
8333 W Okeechobee Rd
Hialeah, FL 33016-2109
Phone
(954) 300-3787
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jacob Bengio
Title
Cfo
Phone
(954) 300-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8333 W Okeechobee Rd
Hialeah, FL 33016-2109

Mailing address

2901 Stirling Rd Ste 200
Fort Lauderdale, FL 33312-6529
Phone (954) 300-3878

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20221108003495 FL Part A Provider - Skilled Nursing Facility 8527435247 Practice locations: Hialeah, FL

Skilled nursing facility certification: CCN 105554

Legal name
WATERFORD OPCO LLC
Doing business as
WATERFORD NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 27, 1987
Last certification
Aug 15, 2024
Beds
214
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
8333 W Okeechobee Rd
Hialeah, FL 33016-2109
Nursing home name
WATERFORD NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waterford Nursing and Rehabilitation CenterCCN 105554 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 27, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
214204.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Agrp 2011 Trust Organization, Spring Valley, NY Trustee of the SNF Oct 26, 2022
Adp of the SNF Oct 22, 2022
Jeremie Paritzky Individual Operational/Managerial Control Oct 26, 2022
Adp of the SNF Oct 26, 2022
Jacob Bengio Individual Corporate OfficerCfo Oct 26, 2022 100%
Operational/Managerial Control Oct 26, 2022
Adp of the SNF Oct 26, 2022
Eduardo a Reyes Individual Operational/Managerial Control Oct 26, 2022
Adp of the SNF Oct 26, 2022
Deborah Philipson 2011 Family Trust Organization, Spring Valley, NY Trustee of the SNF Oct 26, 2022
Adp of the SNF Oct 22, 2022
Ventura Services - Florida, LLC Organization, Fort Lauderdale, FL LLC, Management services company Adp of the SNF Oct 26, 2022
Richards Mitchell & Cross PA Organization, Tallahassee, FL Corporation Adp of the SNF Oct 26, 2022
Waterford Holdco LLC Organization Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Oct 28, 2022 100%
Philipson Family Limited Liability Company, LLC Organization LLC Adp of the SNF Oct 26, 2022
Desiree Sebastian Individual Operational/Managerial Control Oct 26, 2022
Adp of the SNF Oct 26, 2022
Abraham Kraus Individual Adp of the SNF Oct 26, 2022
Naomi Tessler Individual Adp of the SNF Oct 26, 2022
Daniel Schaffer Individual Adp of the SNF Oct 26, 2022

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1003543125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 STIRLING RD STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126529",
            "telephone_number": "954-300-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W OKEECHOBEE RD",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162109",
            "telephone_number": "954-300-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.