NPIMap

Organization Active NPI

Chatsworth at Pga National LLC

  • Skilled Nursing Facility
  • Palm Beach Gardens, FL
National Provider Identifier
1114008570
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHATSWORTH AT PGA NATIONAL LLC
Practice address
347 Hiatt Dr
Palm Beach Gardens, FL 33418-7106
Phone
(561) 227-3200
Fax
(561) 227-3226
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Gail P Cochran, BSN NHA
Title
Administrator
Phone
(561) 227-3206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

347 Hiatt Dr
Palm Beach Gardens, FL 33418-7106

Mailing address

347 Hiatt Dr
Palm Beach Gardens, FL 33418-7103
Phone (561) 227-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080206000420 FL Part A Provider - Skilled Nursing Facility 8820171408 Practice locations: Palm Beach Gardens, FL

Skilled nursing facility certification: CCN 106013

Legal name
CHATSWORTH AT PGA NATIONAL LLC
Doing business as
CHATSWORTH AT PGA NATIONAL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 26, 1999
Last certification
Apr 17, 2025
Beds
62
Ownership / control type
Corporation
Multi-facility organization
Erickson Senior Living LLC
Most recent change of ownership
May 1, 2007
Organization structure
LLCNon-profit
Incorporated
Nov 20, 2006 in FL
Enrollment address
347 Hiatt Drive
Attn Extended Care Administrator
Palm Beach Gardens, FL 33418-7106
Nursing home name
CHATSWORTH AT PGA NATIONAL
Affiliated entity
ERICKSON SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chatsworth at Pga NationalCCN 106013
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Aug 26, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6250.3 residents per day on average
Chain
Erickson Senior Living17 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Chatsworth at Pga National2 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 20

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

NameRoleSinceShare
Erickson Living Holdings LLC Organization, Catonsville, MD LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2014
Adp of the SNF Jan 1, 2014
Devonshire at Pga National LLC Organization, Catonsville, MD LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2007 100%
Adp of the SNF May 1, 2007
Neal a Gantert Individual Corporate OfficerAssistant Treasurer Apr 1, 2018
Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Aleisha a Canik Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 11, 2025
Brad M Andrus Individual Corporate OfficerExecutive Director Sep 23, 2021
Operational/Managerial Control Aug 31, 2021
Gregg Colon Individual Corporate OfficerChief Operating Officer Feb 1, 2024
Operational/Managerial Control Feb 1, 2024
Chatsworth Pga Properties, LLC Organization, Catonsville, MD LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2007 100%
Adp of the SNF May 1, 2007
Erickson Living Properties Organization, Catonsville, MD LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2014
Adp of the SNF Jan 1, 2014
Oak Investment Trust Organization, Tampa, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2025
Adp of the SNF Jan 1, 2025
Erickson Senior Living LLC Organization, Catonsville, MD LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Nov 23, 2020 100%
Adp of the SNF Apr 1, 2025
Christian Sweetser Individual Corporate OfficerChief Financial Officer Mar 1, 2022
Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Susan Oliveri Individual Corporate OfficerSecretary May 7, 2015
Oak Investment Trust II Organization, Tampa, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2025
Adp of the SNF Jan 1, 2025
Devonshire Pga Holdings LLC Organization, Catonsville, MD Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2007
Adp of the SNF May 1, 2007
Kristofer Berntsen Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
John Hall Individual Corporate OfficerTreasurer May 7, 2015
Operational/Managerial Control Jan 1, 2014
Adp of the SNF Jan 1, 2014
Redwood Holdings LLC Organization, Hanover, MD LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2014
Adp of the SNF Jan 1, 2014
Richard a Butler Individual Corporate OfficerChief Executive Officer Jan 1, 2014
Operational/Managerial Control Jan 1, 2014
Mark D Embley Individual Corporate OfficerAssistant Treasurer Feb 1, 2024
Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Pamela Stiner Individual Corporate OfficerAssistant Treasurer Feb 1, 2024
Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024

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 87

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

View all 87

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1114008570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 HIATT DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187103",
            "telephone_number": "561-227-3200",
            "fax_number": "561-227-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 HIATT DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187106",
            "telephone_number": "561-227-3200",
            "fax_number": "561-227-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATSWORTH AT PGA NATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-227-3206",
        "authorized_official_credential": "BSN NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.