Active NPI
Avante Villa at Jacksonville Beach, Inc.
- Skilled Nursing Facility
- Jacksonville Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF10270961
- Legal business name
- AVANTE VILLA AT JACKSONVILLE BEACH, INC.
- Practice address
- 1504 Seabreeze Ave
Jacksonville Beach, FL 32250-3365 - Phone
- (904) 222-6675
- Fax
- (904) 249-8208
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly L. Biegasiewicz
- Title
- President
- Phone
- (407) 216-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF10270961 | FL | Primary |
Addresses
Primary practice location
1504 Seabreeze Ave
Jacksonville Beach, FL 32250-3365
Mailing address
5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643
Phone (407) 216-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020091300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090911000486 | FL | Part A Provider - Skilled Nursing Facility | 6608921861 | Practice locations: Jacksonville Beach, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083791263. Details of each certification follow.
Skilled nursing facility certification: CCN 105617
- Legal name
- AVANTE VILLA AT JACKSONVILLE BEACH, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1988
- Last certification
- Sep 19, 2024
- Beds
- 165
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 13, 1989 in FL
- Enrollment address
- 1504 Seabreeze Avenue
Jacksonville Beach, FL 32250-3365 - Nursing home name
- AVANTE VILLA AT JACKSONVILLE BEACH INC
- Affiliated entity
- AVANTE CENTERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Avante Villa at Jacksonville Beach Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1988
- Medicare certification status
- Active
- Certified beds
- 165
- Chain
- Avante Centers
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0883769 | Avante Villa at Jacksonville Beach Inc | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Shawn Chopra | Adp of the SNF | Sep 23, 2025 | |
| John C. Hornack | Corporate Officer | Apr 24, 2019 | |
| Aaron Coppola | Adp of the SNF | May 5, 2026 | |
| Amittai Ben-Aviv Dynasty Trust | 5% Or Greater Indirect Ownership Interest | Jun 20, 1989 | 7.68% |
| Kimberly L. Biegasiewicz | Corporate Officer | Feb 4, 2022 | |
| Corporate Director | Feb 4, 2022 | ||
| Operational/Managerial Control | Feb 4, 2022 | ||
| Sisel Klurman 2001 Revocable Trust | 5% Or Greater Indirect Ownership Interest | Apr 9, 2010 | 25.37% |
| Ag Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Jun 13, 1989 | 100% |
| Mona Mizrachi 1994 Trust | 5% Or Greater Indirect Ownership Interest | Jun 20, 1989 | 7.68% |
| Debbie Klurman 1994 Trust | 5% Or Greater Indirect Ownership Interest | Jun 20, 1989 | 7.68% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1831272004
Ag Holdings, Inc., Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Inverness, FL
- NPI 1750464830
Ag Holdings, Inc., Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Lake Worth, FL
- NPI 1871670067
Ag Holdings, Inc., Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Leesburg, FL
- NPI 1538223722
Ag Holdings, Inc., Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Melbourne, FL
- NPI 1487718680
Ag Holdings, Inc., Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Mount Dora, FL
- NPI 1922162163
Ag Holdings, Inc., Amittai Ben-Aviv Dynasty Trust, Debbie Klurman 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Ocala, FL
- NPI 1518116706
Ag Holdings, Inc., Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Orlando, FL
- NPI 1750445912
Ag Holdings, Inc., Amittai Ben-Aviv Dynasty Trust, Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Ormond Beach, FL
- NPI 1265596340
Ag Holdings, Inc., Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
-
- Skilled Nursing Facility
- Saint Cloud, FL
- NPI 1073677167
Ag Holdings, Inc., Debbie Klurman 1994 Trust, Mona Mizrachi 1994 Trust, Sisel Klurman 2001 Revocable Trust
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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1083791263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 LAKE ELLENOR DR STE 700",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094643",
"telephone_number": "407-216-0101",
"fax_number": "407-318-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 SEABREEZE AVE",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503365",
"telephone_number": "904-222-6675",
"fax_number": "904-249-8208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANTE VILLA AT JACKSONVILLE BEACH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "BIEGASIEWICZ",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-216-0101"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF10270961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020091300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
- Auerbach IV-Arctos Property Owner LLC
- Alexis Aulisio, NP-C
- Thomas Robert Austgen, MD
- Lori A Austin-McDonald, PA-C
- Christopher Owen Austin, MD
- Aryna Baker, PA
- Eleanor Baker, MS, RDN, LDN
- Linda Banister, DC
- Baptist Agewell Physicians Inc
- Baptist Beaches Surgery Center LLC (Horizon Surgery Center Beaches)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.