Active NPI
MH SNF Opco, LLC
- Skilled Nursing Facility
- Boca Raton, FL
National Provider Identifier
1104679091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MH SNF OPCO, LLC
- Practice address
- 9945 Central Park Blvd N
Boca Raton, FL 33428-1745 - Phone
- (561) 483-0498
- NPI assigned
- Apr 9, 2024
- Last updated
- Jun 28, 2024
- 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
- Andrew Bronfeld
- Title
- Manager
- Phone
- (917) 608-6734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
9945 Central Park Blvd N
Boca Raton, FL 33428-1745
Mailing address
5679 Royal Oak Way
Fort Lauderdale, FL 33312-6386
Phone (917) 608-6734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240627003704 | FL | Part A Provider - Skilled Nursing Facility | 1951845205 | Practice locations: Boca Raton, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1104679091. Details of each certification follow.
Skilled nursing facility certification: CCN 105685
- Legal name
- MH SNF OPCO LLC
- Doing business as
- MENORAH HOUSE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 31, 1990
- Last certification
- Mar 20, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Feb 1, 2022
- Organization structure
- LLC
- Enrollment address
- 9945 Central Park Blvd N
Boca Raton, FL 33428-1745 - Nursing home name
- MENORAH HOUSE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Menorah House
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 31, 1990
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Manuel a Espinel | Managing Control - Governing Body | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| Seth Wiesel | Operational/Managerial Control | May 1, 2024 | |
| Managing Control - Governing Body | May 1, 2024 | ||
| Adp of the SNF | May 1, 2024 | ||
| MH SNF Opco LLC | 5% Or Greater Direct Ownership Interest | May 1, 2024 | 100% |
| Rachel Bronfeld | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| Andrew Bronfeld | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1730399437
Adp of the SNF, Managing Control - Governing Body
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1255775805
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1104679091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 ROYAL OAK WAY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126386",
"telephone_number": "917-608-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9945 CENTRAL PARK BLVD N",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281745",
"telephone_number": "561-483-0498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MH SNF OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "BRONFELD",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-608-6734"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.