Active NPI
Osceola SNF Operations LLC
- Skilled Nursing Facility
- Saint Cloud, FL
National Provider Identifier
1154054971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OSCEOLA SNF OPERATIONS LLC
- Practice address
- 4201 Nolte Rd
Saint Cloud, FL 34772-7158 - Phone
- (407) 957-3341
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Solomon Klein
- Title
- Ceo
- Phone
- (347) 909-1811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4201 Nolte Rd
Saint Cloud, FL 34772-7158
Mailing address
267 Broadway
Brooklyn, NY 11211-6216
Other names 1
- Solaris Healthcare Osceola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240301000693 | FL | Part A Provider - Skilled Nursing Facility | 0042655912 | Practice locations: Saint Cloud, FL |
Skilled nursing facility certification: CCN 105734
- Legal name
- OSCEOLA SNF OPERATIONS LLC
- Doing business as
- SOLARIS HEALTHCARE OSCEOLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 26, 1991
- Last certification
- Nov 21, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Feb 28, 2023
- Organization structure
- LLC
- Incorporated
- Jun 8, 2022 in FL
- Enrollment address
- 4201 Nolte Rd
Saint Cloud, FL 34772-7158 - Nursing home name
- SOLARIS HEALTHCARE OSCEOLA
- Affiliated entity
- SOLARIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Solaris Healthcare Osceola
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 26, 1991
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Solaris Healthcare
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Solomon Klein | 5% Or Greater Indirect Ownership Interest | Feb 8, 2023 | 55.02% |
| Jody M Spinneweber | W-2 Managing Employee | Feb 28, 2023 | 100% |
| Chava Wolofsky | 5% Or Greater Indirect Ownership Interest | Feb 8, 2023 | 19.99% |
| Yisroel E Herzka | 5% Or Greater Indirect Ownership Interest | Feb 8, 2023 | 19.99% |
| Osceola SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 8, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1154054971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112116216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 NOLTE RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347727158",
"telephone_number": "407-957-3341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSCEOLA SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "347-909-1811"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Solaris Healthcare Osceola",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.