Active NPI
Okeechobee SNF Operations, LLC
- Skilled Nursing Facility
- Okeechobee, FL
National Provider Identifier
1104499748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 13, 1984
- Medicare certification status
- Active
- Certified beds
- 210
- Chain
- Ventura Services
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Agrp 2011 Trust | Trustee of the SNF | Mar 1, 2022 | |
| Adp of the SNF | Mar 1, 2022 | ||
| Indirect Ownership Interest | Mar 1, 2022 | 20% | |
| Jeremie Paritzky | Operational/Managerial Control | Mar 1, 2022 | |
| Adp of the SNF | Mar 1, 2022 | ||
| Indirect Ownership Interest | Mar 1, 2022 | 60% | |
| Tahir Naeem | Adp of the SNF | Mar 1, 2022 | |
| Jacob Bengio | Operational/Managerial Control | Mar 1, 2022 | |
| Deborah Philipson 2011 Family Trust | 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 | Adp of the SNF | Mar 1, 2022 | |
| Richards Mitchell & Cross PA | Adp of the SNF | Mar 1, 2022 | |
| Philipson Family Limited Liability Company, LLC | Adp of the SNF | Mar 1, 2022 | |
| Indirect Ownership Interest | Mar 1, 2022 | 40% | |
| Okeechobee Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 30, 2021 | 100% |
| Patricia Ebanks | 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
- Okeechobee Healthcare Facility LLC
- Okeechobee Hospital, Inc.
- Okeechobee Kidney Center LLC
- Okeechobee Regional Cancer Center Inc
- Okeechobee Senior Services
- Okeechobee Value Specs, LLC
- Okeechobee'S Best Hearing
- Ashley Nicole Oliver, PHARMD
- Open MRI of Okeechobee LLC
- Orthopaedic Center of Okeechobee, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.