Athens Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ATHENS POST ACUTE LLC

Practice address

545 W Euclid Ave
Deland, FL 32720-6771

Phone

(386) 734-9085

NPI assigned

Jul 25, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott H Tanner

Title

Legal Counsel

Phone

(949) 430-5178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093441883. Details of each certification follow.

• CCN 105261 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105261

Legal name

ATHENS POST ACUTE LLC

Doing business as

ATHENS POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 16, 1972

Last certification

Nov 30, 2023

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Elevation Group

Organization structure

LLCProprietary

Incorporated

Jun 21, 2022 in FL

Enrollment address

545 W Euclid Ave
Deland, FL 32720-6771

Nursing home name

ATHENS POST ACUTE LLC

Affiliated entity

ELEVATION HEALTHCARE

Listed as

Athens Post Acute LLCCCN 105261 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 16, 1972

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6051.4 residents per day on average

Chain

Elevation Healthcare5 facilities in the chain

Penalties (3 years)

7Fines totaling $49,394

Processed by Care Compare on Aug 1, 2026.

Locations

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 Máximo (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)

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Husam Eddin, M.D

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1629082607

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 5

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

• Blue Lake Post Acute LLC

  • Skilled Nursing Facility
  • Deland, FL
  • NPI 1710613500

  Elevation Healthcare LLC

  CMS ownership
• Arrowhead Post Acute LLC

  • Skilled Nursing Facility
  • Jonesboro, GA
  • NPI 1902778269

  Elevation Healthcare LLC

  CMS ownership
• Savannah Post Acute LLC

  • Skilled Nursing Facility
  • Savannah, GA
  • NPI 1962273441

  Elevation Healthcare LLC

  CMS ownership
• Spalding Post Acute LLC

  • Skilled Nursing Facility
  • Griffin, GA
  • NPI 1932804069

  Elevation Healthcare LLC, Kmom LLC

  CMS ownership
• Tower Road Post Acute LLC

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1316718802

  Elevation Healthcare LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Husam Eddin, M.D

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1629082607

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1093441883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206771",
            "telephone_number": "386-734-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206771",
            "telephone_number": "386-734-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "949-430-5178"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Artis
• Fernando Jose Arzola, MD
• Meredith S Ashley, ANP
• Mohammed Abdul Bari Asif, M.D.
• At Talitha Cumi Home Care, Inc
• Jasmine Atiles
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• Michelle NMN Auguste, APRN
• Autumn French, LLC.
• Avalon Dental, LLC

• Skilled Nursing Facility in Deland, FL
• Providers in Deland, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.

Verify at the official NPI Registry.