NW 10TH Place Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NW 10TH PLACE OPCO LLC

Practice address

6700 NW 10TH PL
Gainesville, FL 32605-4213

Phone

(352) 331-3111

Fax

(352) 332-9232

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Nathan Freund

Title

Manager

Phone

(732) 730-7480

Specialties & licenses 1

Addresses

Other names 1

• Aviata at North Florida Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105460

Legal name

NW 10TH PLACE OPCO LLC

Doing business as

AVIATA AT NORTH FLORIDA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 13, 1984

Last certification

Jan 9, 2025

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Kerem Health

Organization structure

LLCProprietary

Incorporated

Jul 5, 2023 in FL

Enrollment address

6700 NW 10TH PL
Gainesville, FL 32605-4213

Listed as

Aviata at North FloridaCCN 105460

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 13, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12098.8 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $236,166

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Stefan Samuel Mann, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1356847388

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stefan Samuel Mann, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1356847388
  NPD (past)

Affiliated clinicians 2

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

• Joelle M Innocent-Simon, D.O.

  • Family Medicine Physician
  • Starke, FL
  • NPI 1205970134

  Nursing home

  Care Compare affiliation
• Stefan Samuel Mann, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1356847388

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1093495830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NW 10TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054213",
            "telephone_number": "352-331-3111",
            "fax_number": "352-332-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NW 10TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054213",
            "telephone_number": "352-331-3111",
            "fax_number": "352-332-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW 10TH PLACE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-730-7480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Consulate Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aviata at North Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Gainesville, FL
• Providers in Gainesville, 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 Apr 9, 2025; 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.