6931 W Sunrise Boulevard Operations, LLC
Organization Active NPI Skilled Nursing Facility · Plantation, FL
NPI 1073007803 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1073007803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 6931 W SUNRISE BOULEVARD OPERATIONS, LLC
- Practice address
- 6931 W Sunrise Blvd
Plantation, FL 33313 - Phone
- (407) 571-1550
- NPI assigned
- Jun 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Miriam C. Pastor
- Title
- Manager
- Phone
- (813) 769-6280
Owners & managing parties with NPI records 1
-
Regina B Portnova, M.D.
Facilities with the same owner 5
Practitioners 1
-
Sergio Antonio Arguello, M.D.
Affiliated clinicians 2
-
Mark Akselrud, MD
-
Regina B Portnova, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Nspire Healthcare Plantation
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 23, 1985
- Medicare certification status
- Active
- Certified beds
- 120 · 105.4 residents per day on average
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
- Penalties (3 years)
- 8 · fines totaling $35,989
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0681611 | Nspire Healthcare Plantation | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Skilled nursing facility certification: CCN 105519
- Legal name
- 6931 W SUNRISE BOULEVARD OPERATIONS, LLC
- Doing business as
- NSPIRE HEALTHCARE PLANTATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 23, 1985
- Last certification
- Aug 22, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- NSPIRE HEALTHCARE
- Most recent change of ownership
- Dec 20, 2007
- Organization structure
- LLC
- Enrollment address
- 6931 W Sunrise Blvd
Plantation, FL 33313-4406 - Nursing home name
- NSPIRE HEALTHCARE PLANTATION
- Affiliated entity
- CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| LV Investment LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| NSPR Operations II, LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| Nsprmc, LLC |
Operational/Managerial Control | Sep 19, 2018 | |
| Adp of the SNF | Sep 1, 2018 | ||
| Samuel Tate |
Operational/Managerial Control | Sep 11, 2023 | |
| Adp of the SNF | Sep 11, 2023 | ||
| Bradley Lee |
Operational/Managerial Control | Dec 10, 2024 | |
| Managing Control - Governing Body | Dec 10, 2024 | ||
| Adp of the SNF | Dec 10, 2024 | ||
| FC Investors Xxi LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| Regina B Portnova |
Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| MLNM Master Tenant, LLC |
Direct Ownership Interest | Sep 19, 2018 | 100% |
| NSPR Care Centers, LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| NSPR Operations I, LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| Lavie Holdco LLC |
Indirect Ownership Interest | Dec 1, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181002001893 | FL | Part a Provider - Skilled Nursing Facility | 0547512543 | Practice locations: Plantation, FL |
National Provider Directory
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
6931 W Sunrise Blvd
Plantation, FL 33313
Mailing address
6931 W Sunrise Blvd
Plantation, FL 33313-4406
Phone (954) 583-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100299100 | Medicaid | FL |
Other names
- Nspire Healthcare Plantation
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other |
Other providers in Plantation, FL
- 1St Step Counseling Services LLC
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- 2020 Florida, PA
- 2911 Therapy, LLC
- 621 Plantation Alf LLC
- A Blessing Home Care Inc
- A Healing Mind LLC
- A Plus Therapy, Inc.
- A Purposeful Life Care LLC
- A Spectrum of Success Inc
All providers in Plantation, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.