Organization Active NPI

1465 Oakfield Dr Opco LLC

  • Skilled Nursing Facility
  • Brandon, FL
National Provider Identifier
1093587396
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
1465 OAKFIELD DR OPCO LLC
Practice address
1465 Oakfield Dr
Brandon, FL 33511-4854
Phone
(813) 655-0404
Fax
(813) 654-9589
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1465 Oakfield Dr
Brandon, FL 33511-4854

Mailing address

1465 Oakfield Dr
Brandon, FL 33511-4854
Phone (813) 655-0404

Other names 1

  • Aviata at Oakfield Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other Consulate Health Care

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240308000649 FL Part A Provider - Skilled Nursing Facility 2961848221 Practice locations: Brandon, FL

Skilled nursing facility certification: CCN 105951

Legal name
1465 OAKFIELD DR OPCO LLC
Doing business as
AVIATA AT OAKFIELD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 7, 1997
Last certification
Jul 27, 2023
Beds
120
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Oct 12, 2023 in FL
Enrollment address
1465 Oakfield Dr
Brandon, FL 33511-4854
Nursing home name
AVIATA AT OAKFIELD
Affiliated entity
AVIATA HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aviata at OakfieldCCN 105951
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 7, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.5 residents per day on average
Chain
Aviata Health Group50 facilities in the chain
Penalties (3 years)
2Fines totaling $29,328

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
10D0925542Aviata at Oakfield1465 Oakfield Dr, Brandon, FL 33511Certificate of waiverFeb 27, 2027

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
Sharla Narcisse Individual Operational/Managerial Control Jul 7, 2025
Adp of the SNF Jul 7, 2025
Organization, Brooklyn, NY Adp of the SNF Jul 20, 2025
Aspire MGT LLC Organization, Jackson, NJ LLC, For-profit Adp of the SNF Dec 1, 2023
Organization, Springfield, MO Adp of the SNF Jul 20, 2025
Vanessa Veve Individual Operational/Managerial Control Jun 26, 2023
Adp of the SNF Jun 26, 2023
Organization, Lakewood, NJ LLC Adp of the SNF Jun 23, 2025
Nochum Freund Individual Corporate OfficerCoo Dec 1, 2023
Operational/Managerial Control Dec 1, 2023
1465 Oakfield Dr Opco Parent LLC Organization, Jackson, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Dec 1, 2023 100%
1465 Oakfield Dr Opco Holdco LLC Organization, Jackson, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2023 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1093587396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-655-0404",
            "fax_number": "813-654-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114854",
            "telephone_number": "813-655-0404",
            "fax_number": "813-654-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1465 OAKFIELD DR OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "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 Oakfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.