Palatka SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PALATKA SNF OPERATIONS LLC

Doing business as

Palatka Center for Rehabilitation and Healing

Practice address

110 Kay Larkin Dr
Palatka, FL 32177-2300

Phone

(386) 325-0173

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By 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

Solomon Klein

Title

Member

Phone

(347) 909-1811

Specialties & licenses 1

Addresses

Other names 1

• Palatka Center for Rehabilitation and Healing 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 1174289037. Details of each certification follow.

• CCN 105652 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105652

Legal name

PALATKA SNF OPERATIONS LLC

Doing business as

PALATKA CENTER FOR REHABILITATION AND HEALING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

May 26, 1989

Last certification

Feb 20, 2025

Beds

180

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jan 1, 2022

Organization structure

LLCProprietary

Incorporated

Nov 8, 2021 in DE

Enrollment address

110 Kay Larkin Dr
Palatka, FL 32177-2300

Nursing home name

PALATKA CENTER FOR REHABILITATION AND HEALING

Affiliated entity

SUMMIT CARE

Listed as

Palatka Center for Rehabilitation and HealingCCN 105652 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 26, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180150.5 residents per day on average

Chain

Summit Care22 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

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)

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.

Affiliated clinicians 1

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

• Axel E. Martinez Irizarry, M.D.

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1689860421

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1174289037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300",
            "telephone_number": "386-325-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALATKA SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "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": "Palatka Center for Rehabilitation and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony J Pacitti, M.D.
• Alfredo A Pairot, DDS
• Palatka Lpoc, LLC (Vintage Care of Palatka)
• Palatka Nursing and Rehab Op LLC (Radiant Nursing and Rehab at Palatka)
• Palatka Physical Therapy LLC
• Kiesha Lashawn Parkinson, RN
• Patrick J Harris D O P a
• Larry William Pederson, R.PH., C.PH.
• Mark Peluso, LCSW
• Robert Pendrak, MD

• Skilled Nursing Facility in Palatka, FL
• Providers in Palatka, 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 Nov 15, 2021; 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.