Coral Reef Subacute Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORAL REEF SUBACUTE CARE CENTER LLC

Practice address

9869 SW 152ND St
Miami, FL 33157-1703

Phone

(201) 731-1700

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 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

Mark Friedman

Title

Manager

Phone

(201) 731-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194303016. Details of each certification follow.

• CCN 105910 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105910

Legal name

CORAL REEF SUBACUTE CARE CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 29, 1996

Last certification

Jan 19, 2024

Beds

180

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

9869 SW 152ND St
Miami, FL 33157-1703

Nursing home name

CORAL REEF SUBACUTE CARE CENTER LLC

Affiliated entity

CARERITE CENTERS

Listed as

Coral Reef Subacute Care Center LLCCCN 105910 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 29, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180155.7 residents per day on average

Chain

Carerite Centers34 facilities in the chain

Penalties (3 years)

1Fines totaling $10,039

Processed by Care Compare on Aug 1, 2026.

Networks

• HealthSun Health Plans Network

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jesus Gonzalez Jr., M.D.

  • Family Medicine Physician
  • Miami Beach, FL
  • NPI 1881645729

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 5

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

• Francisco Javier Fernandez Pacheco

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1265993232

  Nursing home

  Care Compare affiliation
• Justo Manuel Garcia, MD

  • Internal Medicine Physician
  • Homestead, FL
  • NPI 1619074614

  Nursing home

  Care Compare affiliation
• Jesus Gonzalez Jr., M.D.

  • Family Medicine Physician
  • Miami Beach, FL
  • NPI 1881645729

  Nursing home

  Care Compare affiliation
• Maria Jussymi Jaime, MD

  • Internal Medicine Physician
  • Homestead, FL
  • NPI 1285874636

  Nursing home

  Care Compare affiliation
• Orlando David Rodriguez, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1952502825

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1194303016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SYLVAN AVE STE 4",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322519",
            "telephone_number": "201-731-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571703",
            "telephone_number": "201-731-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF SUBACUTE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-731-1700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coral Reef Orthopaedic Associates PA
• Coral Reef Pharmacy & Discount Store Inc (Sedanos Pharmacy #10)
• Coral Rehab, Inc
• Coral Rehabilitation Services Corp
• Coral Supplies Inc
• Coral Terrace Alf, Inc.
• Coral Terrace Hospital LLC

• Skilled Nursing Facility in Miami, FL
• Providers in Miami, 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 Mar 31, 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.