Organization Active NPI

Okeechobee SNF Operations, LLC

  • Skilled Nursing Facility
  • Okeechobee, FL
National Provider Identifier
1104499748
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OKEECHOBEE SNF OPERATIONS, LLC
Practice address
1646 US Highway 441 N
Okeechobee, FL 34972-1916
Phone
(954) 300-3878
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Jacob Bengio
Title
Cfo
Phone
(954) 300-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1646 US Highway 441 N
Okeechobee, FL 34972-1916

Mailing address

2901 Stirling Road, Ste 200
Fort Lauderdale, FL 33312
Phone (954) 300-3878

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220726000357 FL Part A Provider - Skilled Nursing Facility 6800277666 Practice locations: Okeechobee, FL

Skilled nursing facility certification: CCN 105484

Legal name
OKEECHOBEE SNF OPERATIONS, LLC
Doing business as
OKEECHOBEE HEALTH CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 13, 1984
Last certification
Apr 25, 2024
Beds
210
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Mar 1, 2022
Organization structure
LLCProprietary
Incorporated
Aug 25, 2021 in DE
Enrollment address
1646 US Highway 441 N
Okeechobee, FL 34973-1916
Nursing home name
OKEECHOBEE HEALTH CARE FACILITY
Affiliated entity
VENTURA SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Okeechobee Health Care FacilityCCN 105484
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 13, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
210192.0 residents per day on average
Chain
Ventura Services14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Agrp 2011 Trust Organization, Spring Valley, NY Trustee of the SNF Mar 1, 2022
Adp of the SNF Mar 1, 2022
Indirect Ownership Interest Mar 1, 2022 20%
Jeremie Paritzky Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Indirect Ownership Interest Mar 1, 2022 60%
Tahir Naeem Individual Adp of the SNF Mar 1, 2022
Jacob Bengio Individual Operational/Managerial Control Mar 1, 2022
Deborah Philipson 2011 Family Trust Organization, Spring Valley, NY Trustee of the SNF Mar 1, 2022
Adp of the SNF Mar 1, 2022
Indirect Ownership Interest Mar 1, 2022 20%
Ventura Services - Florida, LLC Organization, Ft Lauderdale, FL LLC, Management services company Adp of the SNF Mar 1, 2022
Richards Mitchell & Cross PA Organization, Tallahassee, FL Corporation Adp of the SNF Mar 1, 2022
Philipson Family Limited Liability Company, LLC Organization, Spring Valley, NY LLC Adp of the SNF Mar 1, 2022
Indirect Ownership Interest Mar 1, 2022 40%
Okeechobee Opco Holdings LLC Organization, Ft Lauderdale, FL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 30, 2021 100%
Patricia Ebanks Individual Operational/Managerial Control Jul 31, 2022
Adp of the SNF Jul 31, 2022

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": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1104499748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 STIRLING ROAD, STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-300-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 US HIGHWAY 441 N",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721916",
            "telephone_number": "954-300-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEECHOBEE SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BENGIO",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-300-3878"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.