NPIMap

Organization Active NPI

Jacksonville Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1033844485
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACKSONVILLE REHABILITATION AND NURSING CENTER LLC
Practice address
2061 Hyde Park Rd
Jacksonville, FL 32210-3815
Phone
(904) 786-7331
Fax
(904) 786-4034
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Moshe Kelman
Title
Member
Phone
(917) 613-1662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2061 Hyde Park Rd
Jacksonville, FL 32210-3815

Mailing address

2061 Hyde Park Rd
Jacksonville, FL 32210-3815
Phone (904) 786-7331

Other identifiers 1

IdentifierTypeStateIssuer
10800961OtherFLLICENSE

Other names 2

  • Jacksonville Rehabilitation and Nursing Center Doing business as
  • Westside Oaks Rehabilitation and Nursing Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://shcofjacksonville.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216002376 FL Part A Provider - Skilled Nursing Facility 3577932326 Practice locations: Jacksonville, FL

Skilled nursing facility certification: CCN 105287

Legal name
JACKSONVILLE REHABILITATION AND NURSING CENTER LLC
Doing business as
WESTSIDE OAKS REHABILITATION AND NUSRING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1979
Last certification
Apr 18, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 7, 2022 in FL
Enrollment address
2061 Hyde Park Rd
Jacksonville, FL 32210-3815
Nursing home name
WESTSIDE OAKS REHABILITATION & NURSING CENTER
Affiliated entity
BENJAMIN LANDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westside Oaks Rehabilitation & Nursing CenterCCN 105287
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180171.8 residents per day on average
Chain
Benjamin Landa48 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $96,892

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2317823Jacksonville Rehabilitation & Nursing Center, LLC2061 Hyde Park Rd, Jacksonville, FL 32210Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Mkja Opco LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 8.98%
Alexander Platschek Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 25%
Judy Landa Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 9.99%
Jacksonville 4 Member Opco LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 60%
Hal Brecher Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 1.66%
Corporate OfficerMember Oct 7, 2022
Shlomo Lowy Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 16.5%
Dewayne Harvey Individual W-2 Managing EmployeeAdministrator Oct 7, 2022
Jacksonville 4 Opco Partners LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2022 100%
ZBL-18 LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 10%
Goldie Platschek Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 20.16%
Jflnho Capital Group, LLC Organization, Mineola, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2022 9.99%
Rpja Opco LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 12.1%
Moshe Kelman Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 16.49%
Gpja Opco LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 12.1%
Jacksonville Rehabilitation and Nursing Member LLC Organization, Jacksonville, FL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 7, 2022 100%
Apja Opco LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 15%
Richard Platschek Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 20.16%
Slja Opco LLC Organization, Dallas, TX Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 7, 2022 9.9%
Benjamin Landa Individual 5% Or Greater Indirect Ownership Interest Oct 7, 2022 10.01%
Flnho Capital Group LLC Organization, Mineola, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2022 10.01%

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1033844485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 HYDE PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103815",
            "telephone_number": "904-786-7331",
            "fax_number": "904-786-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HYDE PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103815",
            "telephone_number": "904-786-7331",
            "fax_number": "904-786-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-613-1662"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10800961",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://shcofjacksonville.com/",
            "affiliation": "N",
            "address_1": "2061 Hyde Park Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322103815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jacksonville Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Oaks Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.