NPIMap

Organization Active NPI

Palmetto Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Hialeah, FL
National Provider Identifier
1043968563
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PALMETTO NURSING AND REHAB LLC
Practice address
6750 W 22ND CT
Hialeah, FL 33016-3918
Phone
(305) 512-4688
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Levi Moalem
Title
Authorized Official
Phone
(773) 614-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6750 W 22ND CT
Hialeah, FL 33016-3918

Mailing address

6750 W 22ND CT
Hialeah, FL 33016-3918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231016000802 FL Part A Provider - Skilled Nursing Facility 5597110213 Practice locations: Hialeah, FL

Skilled nursing facility certification: CCN 105575

Legal name
PALMETTO NURSING AND REHAB LLC
Doing business as
PALMETTO CARE CENTER AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 2, 1987
Last certification
Feb 27, 2025
Beds
90
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 11, 2022 in DE
Enrollment address
6750 W 22ND CT
Hialeah, FL 33016-3918
Nursing home name
PALMETTO CARE CENTER AND REHAB
Affiliated entity
FL SNF TRUST

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palmetto Care Center and RehabCCN 105575
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 2, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9086.1 residents per day on average
Chain
FL SNF Trust10 facilities in the chain

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
10D1086068Palmetto Nursing and Rehab LLC6750 W 22ND CT, Hialeah, FL 33016Certificate of waiverJul 2, 2028

National Provider Directory

National Provider Directory

Networks

  • 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)…
  • 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)

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Jose a Suarez Individual W-2 Managing EmployeeAdministrator Aug 1, 2023
Moss M Ellenbogen Individual Corporate Officer Aug 1, 2023
FL Master Opco Holdco II LLC Organization, North Miami Beach, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 100%
FL SNF Trust I Organization, North Miami Beach, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2023 50%
Palmetto Nursing Holdco Organization, Hialeah, FL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
FL SNF Trust II Organization, North Miami Beach, FL 5% Or Greater Indirect Ownership Interest Aug 1, 2023 50%

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1043968563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 W 22ND CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W 22ND CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163918",
            "telephone_number": "305-512-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "MOALEM",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-614-3933"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.