NPIMap

Organization Active NPI

Heartland Boynton Opco LLC

  • Skilled Nursing Facility
  • Boynton Beach, FL
National Provider Identifier
1043922669
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEARTLAND BOYNTON OPCO LLC
Practice address
3600 Old Boynton Rd
Boynton Beach, FL 33436-3912
Phone
(561) 736-9992
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mathew Varghese
Title
Authorized Person
Phone
(917) 817-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3600 Old Boynton Rd
Boynton Beach, FL 33436-3912

Mailing address

300 Provider CT
Richmond, KY 40475-8488
Phone (917) 817-3530

Other names 1

  • Heartland Nursing & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230628003560 FL Part A Provider - Skilled Nursing Facility 4486013190 Practice locations: Boynton Beach, FL

Skilled nursing facility certification: CCN 105755

Legal name
HEARTLAND BOYNTON OPCO LLC
Doing business as
HEARTLAND NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 16, 1992
Last certification
Mar 13, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Apr 1, 2023
Organization structure
LLCProprietary
Incorporated
Dec 5, 2022 in DE
Enrollment address
3600 Old Boynton Rd
Boynton Beach, FL 33436-3912
Nursing home name
HEARTLAND NURSING & REHAB CENTER
Affiliated entity
EXCELSIOR CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heartland Nursing & Rehab CenterCCN 105755
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 16, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.6 residents per day on average
Chain
Excelsior Care Group33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Mayer Fischel Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 5%
Palm Beach Health Partners LLC Organization, Richmond, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Heartland Boynton Intermediate Opco Holdco LLC Organization, Richmond, KY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
Mathew K Varghese Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 5%
Tia Mercedes George Individual W-2 Managing EmployeeAdministrator Apr 1, 2023
Benjamin Landa Individual Corporate OfficerManager Apr 1, 2023
Flnho Capital Group LLC Organization, Mineola, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 39.62%

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 2

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": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1043922669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758488",
            "telephone_number": "917-817-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLD BOYNTON RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363912",
            "telephone_number": "561-736-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND BOYNTON OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "917-817-3530"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.