Organization Active NPI

Dania Beach Opco LLC

  • Nursing Facility/Intermediate Care Facility
  • Dania Beach, FL
National Provider Identifier
1114703980
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
DANIA BEACH OPCO LLC
Practice address
440 Phippen Waiters Rd
Dania Beach, FL 33004-4931
Phone
(718) 916-1443
NPI assigned
Sep 6, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Joe Neuman
Title
Authorized Member
Phone
(718) 916-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary

Addresses

Primary practice location

440 Phippen Waiters Rd
Dania Beach, FL 33004-4931

Mailing address

144 Shady Lane Dr
Lakewood, NJ 08701-2351
Phone (732) 364-2444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229003039 FL Part A Provider - Skilled Nursing Facility 4385094572 Practice locations: Dania Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114703980. Details of each certification follow.

Skilled nursing facility certification: CCN 105296

Legal name
DANIA BEACH OPCO LLC
Doing business as
WESTLAKE NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1976
Last certification
Jan 24, 2025
Beds
88
Ownership / control type
Corporation
Multi-facility organization
VERED HEALTHCARE
Most recent change of ownership
Sep 1, 2023
Organization structure
LLCProprietary
Incorporated
Jul 19, 2023 in DE
Enrollment address
440 Phippen Waiters Rd
Dania Beach, FL 33004-4931
Nursing home name
WESTLAKE NURSING AND REHAB CENTER
Affiliated entity
ELIYAHU MIRLIS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westlake Nursing and Rehab CenterCCN 105296 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8883.6 residents per day on average
Chain
Eliyahu Mirlis13 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 6

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

NameRoleSinceShare
Ilene Berkon-Cardello Individual Operational/Managerial Control Jan 8, 2025
Managing Control - Governing BodyAdministrator Sep 1, 2023
Adp of the SNF Jan 8, 2025
Sarah Becher Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 1%
VRD 10 Hldco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Eliyahu Mirlis Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 65%
Corporate OfficerManager Aug 1, 2023 100%
Ruben H Colman Individual Operational/Managerial Control Jan 8, 2025
Managing Control - Governing BodyMedical Director Sep 1, 2023
Adp of the SNF Jan 8, 2025
440 Phippen Waiters Rd Dania Beach Holdco LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%

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 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1114703980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SHADY LANE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012351",
            "telephone_number": "732-364-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PHIPPEN WAITERS RD",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330044931",
            "telephone_number": "718-916-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIA BEACH OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "718-916-1443"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dania Beach, FL

Sources for this page

Verify at the official NPI Registry.