NPIMap

Organization Active NPI

Eastlake Rehab & Care Center LLC

Doing business as Trinity Regional Rehab Center

  • Skilled Nursing Facility
  • Trinity, FL
National Provider Identifier
1144404716
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130471040 Issued in FL
Legal business name
EASTLAKE REHAB & CARE CENTER LLC
Doing business as
Trinity Regional Rehab Center
Practice address
2144 Welbilt Blvd
Trinity, FL 34655-5186
Phone
(727) 859-4100
Fax
(727) 859-4150
NPI assigned
Dec 19, 2007
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mr. Ben Atkins
Title
Ceo
Phone
(727) 224-9874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF130471040 FL Primary

Addresses

Primary practice location

2144 Welbilt Blvd
Trinity, FL 34655-5186

Mailing address

2144 Welbilt Blvd
Trinity, FL 34655-5186
Phone (727) 859-4100

Other identifiers 1

IdentifierTypeStateIssuer
003521MedicaidFL

Other names 1

  • Trinity Regional Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000513 FL Part A Provider - Skilled Nursing Facility 1254490907 Practice locations: Trinity, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144404716. Details of each certification follow.

Skilled nursing facility certification: CCN 106079

Legal name
EASTLAKE REHAB & CARE CENTER LLC
Doing business as
TRINITY REGIONAL REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 25, 2008
Last certification
Nov 21, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Ark Post Acute Network
Organization structure
LLCProprietary
Incorporated
Sep 22, 2004 in FL
Enrollment address
2144 Welbilt Blvd
Trinity, FL 34655-5186

Care Compare: Nursing home

Medicare Care Compare
Listed as
Trinity Regional Rehab CenterCCN 106079 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 25, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120108.1 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $26,685

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1090528Trinity Regional Rehab Center2144 Welbilt Blvd, Trinity, FL 34655Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Ark Post Acute Network LLC Organization, Clearwater, FL LLC Operational/Managerial Control Jan 1, 2021 100%
Kimberly a Justiniano Individual Corporate OfficerCfo Mar 1, 2020 25%
Roy B Bridges Individual Corporate OfficerCeo Mar 1, 2020 25%
Ryan B Dulski Individual W-2 Managing EmployeeNursing Home Administrator Dec 6, 2021 25%
Trinity Rehab Holding Group Organization, Clearwater, FL Holding company 5% Or Greater Direct Ownership Interest Apr 30, 2013 100%

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

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.

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1144404716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 WELBILT BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555186",
            "telephone_number": "727-859-4100",
            "fax_number": "727-859-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 WELBILT BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555186",
            "telephone_number": "727-859-4100",
            "fax_number": "727-859-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE REHAB & CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-224-9874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130471040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Regional Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.