Organization Active NPI

Avante Villa at Jacksonville Beach, Inc.

  • Skilled Nursing Facility
  • Jacksonville Beach, FL
National Provider Identifier
1083791263
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF10270961 Issued in FL
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020091300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 105617 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
165125.8 residents per day on average
Chain
Avante Centers11 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
10D0883769Avante Villa at Jacksonville Beach Inc1504 Seabreeze Avenue, Jacksonville Beach, FL 32250Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Shawn Chopra Individual Adp of the SNF Sep 23, 2025
John C. Hornack Individual Corporate OfficerSecretary Apr 24, 2019
Aaron Coppola Individual Adp of the SNF May 5, 2026
Amittai Ben-Aviv Dynasty Trust Organization, Hollywood, FL 5% Or Greater Indirect Ownership Interest Jun 20, 1989 7.68%
Kimberly L. Biegasiewicz Individual Corporate OfficerPresident Feb 4, 2022
Corporate DirectorDirector, Chairman Feb 4, 2022
Operational/Managerial Control Feb 4, 2022
Sisel Klurman 2001 Revocable Trust Organization, Orlando, FL 5% Or Greater Indirect Ownership Interest Apr 9, 2010 25.37%
Ag Holdings, Inc. Organization, Orlando, FL Created for acquisition, Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 13, 1989 100%
Mona Mizrachi 1994 Trust Organization, Orlando, FL 5% Or Greater Indirect Ownership Interest Jun 20, 1989 7.68%
Debbie Klurman 1994 Trust Organization, Orlando, FL 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.

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

Sources for this page

Verify at the official NPI Registry.