Arabella of Carrabelle Opco LLC
Organization Active NPI Skilled Nursing Facility · Carrabelle, FL
NPI 1134811367 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1134811367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ARABELLA OF CARRABELLE OPCO LLC
- Practice address
- 239 Crooked River Rd
Carrabelle, FL 32322-8040 - Phone
- (850) 697-2020
- Fax
- (850) 697-2377
- NPI assigned
- May 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Chaim N Hertzel
- Title
- Member
- Phone
- (901) 930-6124
Owners & managing parties with NPI records 1
-
David Anthony Keen, M.D., M.P.H.
Practitioners 1
-
David Anthony Keen, M.D., M.P.H.
Affiliated clinicians 1
-
David Anthony Keen, M.D., M.P.H.
Medicare Care Compare: Nursing home
- Listed as
- Arabella Health & Wellness of Carrabelle
- 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
- Active
- Certified beds
- 74 · 79.1 residents per day on average
- Chain
- Eliyahu Mirlis
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1092908 | Arabella of Carrabelle Opco LLC | Certificate of waiver | Mar 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
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
- LLC · Proprietary
- Enrollment address
- 239 Crooked River Rd
Carrabelle, FL 32322-8040 - Nursing home name
- ARABELLA HEALTH & WELLNESS OF CARRABELLE
- Affiliated entity
- ELIYAHU MIRLIS
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| 239 Crooked River Realty LLC |
Adp of the SNF | Dec 22, 2025 | |
| Arabella of Carrabelle Holdco LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 100% |
| Jared K Elliott |
Operational/Managerial Control | Jan 28, 2025 | |
| LTC Consulting Services LLC |
Adp of the SNF | Jan 28, 2025 | |
| Crooked River Realty Holdco LLC |
Adp of the SNF | Jan 28, 2025 | |
| Vered Healthcare Group LLC |
Operational/Managerial Control | Jan 28, 2025 | |
| Adp of the SNF | Aug 20, 2025 | ||
| Eliyahu Mirlis |
5% Or Greater Indirect Ownership Interest |
Jan 28, 2025 | 100% |
| Corporate Officer |
Jan 28, 2025 | ||
| Operational/Managerial Control | Jan 28, 2025 | ||
| Adp of the SNF | Jan 28, 2025 | ||
| David a Keen |
Operational/Managerial Control | Jan 28, 2025 | |
| Adp of the SNF | Aug 5, 2025 | ||
| Courtney Cook |
Operational/Managerial Control | Jan 28, 2025 | |
| Laura Weseman |
Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Aug 5, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231024001777 | FL | Part a Provider - Skilled Nursing Facility | 0840646006 | Practice locations: Carrabelle, FL |
National Provider Directory
Locations
239 Crooked River Rd
Carrabelle, FL 32322
Phone (850) 229-7261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
239 Crooked River Rd
Carrabelle, FL 32322-8040
Mailing address
239 Crooked River Rd
Carrabelle, FL 32322-8040
Phone (850) 697-2020
Other names
- Arabella Health & Wellness of Carrabelle
Other providers in Carrabelle, FL
- Ahi Holdings, LLC
- Bayline Medical Center Inc
- Bert Bovard Boldt II
- Carrabelle Medical Pharmacy
- Lionel B Catlin
- County of Franklin Office Clerk Board County Commissioners
All providers in Carrabelle, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.