NPIMap

Organization Active NPI

Westchester Gardens Limited Partnership

  • Skilled Nursing Facility
  • Clearwater, FL
National Provider Identifier
1184667941
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1596096 Issued in FL
Legal business name
WESTCHESTER GARDENS LIMITED PARTNERSHIP
Doing business as
WESTCHESTER GARDENS HEALTH & REHABILITATION
Practice address
3301 N McMullen Booth Rd
Clearwater, FL 33761-2014
Phone
(727) 785-8335
Fax
(727) 789-0980
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Mr. James A. Weichert
Title
Limited Partner
Phone
(952) 361-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1596096 FL Primary

Addresses

Primary practice location

3301 N McMullen Booth Rd
Clearwater, FL 33761-2014

Mailing address

1107 Hazeltine Blvd
Suite 200
Chaska, MN 55318-1009
Phone (952) 361-8000

Other identifiers 3

IdentifierTypeStateIssuer
K4BOtherBCBS OF FLORIDA
71-05907OtherFLEVERCARE
02020-1100MedicaidFL

Other names 1

  • WESTCHESTER GARDENS HEALTH & REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000358 FL Part A Provider - Skilled Nursing Facility 1951472018 Practice locations: Clearwater, FL

Skilled nursing facility certification: CCN 105654

Legal name
WESTCHESTER GARDENS LIMITED PARTNERSHIP
Doing business as
WESTCHESTER GARDENS HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 19, 1989
Last certification
Jun 5, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
The Goodman group
Organization structure
OtherProprietary
Incorporated
Nov 17, 1989 in MN
Enrollment address
3301 N McMullen Booth Rd
Clearwater, FL 33761-2014
Nursing home name
WESTCHESTER GARDENS HEALTH & REHABILITATION
Affiliated entity
THE GOODMAN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westchester Gardens Health & RehabilitationCCN 105654 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 19, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120109.6 residents per day on average
Chain
The Goodman Group9 facilities in the chain

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
10D0297083Westchester Gardens Limited Partnership3301 N McMullen Booth Rd, Clearwater, FL 33761Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • 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)
  • 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 Maximo (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)…

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Travis Reed Individual W-2 Managing EmployeeExecutive Director Jul 7, 2023 100%
Randall W Benson Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
General Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 0.2%
Limited Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
Corporate OfficerTreasurer of General Partner Jun 26, 2016 33.33%
Werner Ventures Limited Partnership Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Nov 17, 1989 9.39%
Limited Partnership Interest Nov 17, 1989 9.39%
Westchester Gardens Limited Partnership Organization, Chaska, MN Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Nov 17, 1989 100%
Clinton V Knacke Individual Corporate OfficerChief Financial Officer Oct 12, 2022 100%
Craig E Edinger Individual Corporate Officer Oct 21, 2016 33.33%
OtherPresident of Home Office Administra Dec 19, 2016 100%
Thomas Jay Salmen Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
General Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 0.2%
Limited Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
South Dakota Trust Company, LLC Organization, Sioux Falls, SD LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 28, 2017 9.12%
General Partnership Interest Feb 28, 2017 0.2%
Limited Partnership Interest Feb 28, 2017 9.12%
John B. Goodman 2006 Irrv Grantor TR Organization, Chaska, MN 5% Or Greater Direct Ownership Interest Feb 28, 2017 57.11%
5% Or Greater Indirect Ownership Interest Feb 28, 2017 9.12%
General Partnership Interest Feb 28, 2017 1%
Limited Partnership Interest Feb 28, 2017 57.11%
Jbge Westchester Inc Organization, Chaska, MN Corporation, For-profit General Partnership Interest Jun 17, 2003 1%
Beverly N. Grossman Revocable Trust Organization, Minneapolis, MN 5% Or Greater Direct Ownership Interest May 1, 2015 7.56%
Limited Partnership Interest May 1, 2015 7.56%
The Goodman Group LLC Organization, Chaska, MN LLC, For-profit Other Jan 1, 2007 100%
Mark L Wilson Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
General Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 0.2%
Limited Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
Beverly Grossman Individual 5% Or Greater Indirect Ownership InterestTrustee of Beverly N. Grossman Revo May 1, 2015 7.56%
Limited Partnership InterestTrustee of Beverly N. Grossman Revo May 1, 2015 7.56%
Denise a Olson Individual Corporate OfficerSecretary of General Partner Sep 16, 2013 33.33%
The Goodman Group Properties LLC Organization, Chaska, MN LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2006 10.17%
Limited Partnership Interest Dec 31, 2006 10.17%
James a Weichert Individual 5% Or Greater Indirect Ownership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
General Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 0.2%
Limited Partnership InterestTrustee of John B. Goodman 2006 Irr Feb 28, 2017 9.12%
Corporate DirectorDirector of General Partner Oct 21, 2016 100%

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1184667941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612014",
            "telephone_number": "727-785-8335",
            "fax_number": "727-789-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER GARDENS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LIMITED PARTNER",
        "authorized_official_telephone_number": "952-361-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1596096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "K4B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "71-05907",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02020-1100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCHESTER GARDENS HEALTH & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WESTCHESTER GARDENS HEALTH & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.