Arabella of Carrabelle Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARABELLA OF CARRABELLE OPCO LLC

Doing business as

Arabella Health & Wellness of Carrabelle

Practice address

239 Crooked River Rd
Carrabelle, FL 32322-8040

Phone

(850) 697-2020

Fax

(850) 697-2377

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim N Hertzel

Title

Member

Phone

(901) 930-6124

Specialties & licenses 1

Addresses

Other names 1

• Arabella Health & Wellness of Carrabelle Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134811367. Details of each certification follow.

• CCN 106081 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 106081

Legal name

ARABELLA OF CARRABELLE OPCO LLC

Doing business as

CARRABELLE NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 30, 2009

Last certification

Nov 21, 2024

Beds

90 (74 certified)

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

239 Crooked River Rd
Carrabelle, FL 32322-8040

Nursing home name

ARABELLA HEALTH & WELLNESS OF CARRABELLE

Affiliated entity

ELIYAHU MIRLIS

Listed as

Arabella Health & Wellness of CarrabelleCCN 106081 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 30, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7479.1 residents per day on average

Chain

Eliyahu Mirlis13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• David Anthony Keen, M.D., M.P.H.

  • Family Medicine Physician
  • Crawfordville, FL
  • NPI 1295759512

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Anthony Keen, M.D., M.P.H.

  • Family Medicine Physician
  • Crawfordville, FL
  • NPI 1295759512
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David Anthony Keen, M.D., M.P.H.

  • Family Medicine Physician
  • Crawfordville, FL
  • NPI 1295759512

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1134811367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CROOKED RIVER RD",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323228040",
            "telephone_number": "850-697-2020",
            "fax_number": "850-697-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CROOKED RIVER RD",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323228040",
            "telephone_number": "850-697-2020",
            "fax_number": "850-697-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARABELLA OF CARRABELLE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "HERTZEL",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "901-930-6124"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arabella Health & Wellness of Carrabelle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahi Holdings, LLC (St. James Health and Rehabilitation Center)
• Bayline Medical Center Inc
• Bert Bovard Boldt II, BS PT
• Carrabelle Medical Pharmacy
• Lionel B Catlin, MD
• Elizabeth Crossley

• Skilled Nursing Facility in Carrabelle, FL
• Providers in Carrabelle, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.

Verify at the official NPI Registry.