NPIMap

Organization Active NPI

St. Annes Nursing Center St. Annes Residence Inc.

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1104814979
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1515096 Issued in FL
Legal business name
ST. ANNES NURSING CENTER ST. ANNES RESIDENCE INC.
Practice address
11855 Quail Roost Dr
Miami, FL 33177-3956
Phone
(954) 739-6233
Fax
(954) 733-1532
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Ms. Sandra Cabezas, NHA
Title
Executive Director
Phone
(305) 252-4000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X SNF1515096 FL
Nursing Facility/Intermediate Care Facility 313M00000X SNF1515096 FL
Skilled Nursing Facility 314000000X SNF1515096 FL Primary

Addresses

Primary practice location

11855 Quail Roost Dr
Miami, FL 33177-3956

Mailing address

11855 Quail Roost Dr
Miami, FL 33177-3956
Phone (954) 739-6233

Other identifiers 1

IdentifierTypeStateIssuer
020947300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110923000128 FL Part A Provider - Skilled Nursing Facility 1850562844 Practice locations: Miami, FL

Skilled nursing facility certification: CCN 105560

Legal name
ST. ANNE'S NURSING CENTER, ST ANNE'S RESIDENCE INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 22, 1987
Last certification
Apr 10, 2025
Beds
213
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Catholic
Organization structure
CorporationNon-profit
Enrollment address
11855 Quail Roost Dr
Miami, FL 33177-3956
Nursing home name
ST ANNES NURSING CENTER, ST ANNES RESIDENCE INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Annes Nursing Center, St Annes Residence IncCCN 105560
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 22, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
213195.1 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $34,141

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
St Annes Nursing Center St Annes Residence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Heriberto Fernandez Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Mar 3, 2026
Laura Wilson Individual Operational/Managerial Control Apr 1, 2024
Archdiocese of Miami Inc Organization, Miami Shores, FL 5% Or Greater Indirect Ownership Interest Dec 5, 1984 100%
St. Anne'S Nursing Center, St Anne'S Residence Inc Organization, Miami, FL 5% Or Greater Direct Ownership Interest Dec 5, 1984 100%
Mary Frick Individual Corporate OfficerPresident & Ceo Apr 1, 2024
Sandra Cabezas Individual Operational/Managerial Control May 17, 2019
Adp of the SNF Mar 3, 2026

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1104814979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773956",
            "telephone_number": "954-739-6233",
            "fax_number": "954-733-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773956",
            "telephone_number": "954-739-6233",
            "fax_number": "954-733-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANNES NURSING CENTER ST. ANNES RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "CABEZAS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-252-4000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "SNF1515096",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "SNF1515096",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1515096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020947300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.