Active NPI
Orlando FL Opco LLC
- Skilled Nursing Facility
- Orlando, FL
National Provider Identifier
1215631965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ORLANDO FL OPCO LLC
- Practice address
- 1730 Lucerne Ter
Orlando, FL 32806-2917 - Phone
- (407) 423-1612
- NPI assigned
- Mar 28, 2023
- Last updated
- Mar 28, 2023
- 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
- Batya Gorelick
- Title
- Manager
- Phone
- (201) 928-7808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1730 Lucerne Ter
Orlando, FL 32806-2917
Mailing address
1730 Lucerne Ter
Orlando, FL 32806-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240411000438 | FL | Part A Provider - Skilled Nursing Facility | 6709224678 | Practice locations: Orlando, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215631965. Details of each certification follow.
Skilled nursing facility certification: CCN 105546
- Legal name
- ORLANDO FL OPCO LLC
- Doing business as
- SOUTH ORANGE HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 19, 1986
- Last certification
- Feb 13, 2025
- Beds
- 115
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Aug 11, 2023
- Organization structure
- LLC
- Enrollment address
- 1730 Lucerne Ter
Orlando, FL 32806-2917 - Nursing home name
- SOUTH ORANGE HEALTH AND REHABILITATION CENTER
- Affiliated entity
- ROBERT SCHOENFELD
Care Compare: Nursing home
Medicare Care Compare- Listed as
- South Orange Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 19, 1986
- Medicare certification status
- Active
- Certified beds
- 115
- Chain
- Robert Schoenfeld
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0881744 | Orlando FL Opco LLC | Certificate of waiver | Jan 18, 2028 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare 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 |
|---|---|---|---|
| FL HC Opco LLC | 5% Or Greater Indirect Ownership Interest | Aug 11, 2023 | 100% |
| Robert B Schoenfeld | 5% Or Greater Indirect Ownership Interest | Aug 11, 2023 | 75% |
| Corporate Officer | Aug 11, 2023 | 100% | |
| Orlando FL Holdco LLC | 5% Or Greater Direct Ownership Interest | Aug 11, 2023 | 100% |
| Sharon Schoenfeld | 5% Or Greater Indirect Ownership Interest | Aug 11, 2023 | 25% |
| Jessica Pierre | W-2 Managing Employee | Aug 11, 2023 | 100% |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1679961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679961600000",
"number": "1215631965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 LUCERNE TER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 LUCERNE TER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062917",
"telephone_number": "407-423-1612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO FL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A",
"authorized_official_last_name": "GORELICK",
"authorized_official_first_name": "BATYA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "201-928-7808"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Orlando Family Physicians, LLC
- Orlando Family Physicians, LLC
- Orlando Family Practice Care PA
- Orlando Family Wellness
- Orlando FL Endoscopy ASC LLC (Citrus Ambulatory Surgery Center)
- Orlando Foot & Ankle Clinic Inc
- Orlando Foot and Ankle Clinic Inc (Orlando Foot & Ankle Clinic)
- Orlando Foot and Ankle Clinic Inc (Orlando Foot & Ankle Clinic)
- Orlando Foot and Ankle Clinic Inc (Orlando Foot & Ankle Clinic)
- Orlando Foot and Ankle Clinic Inc (Orlando Foot And Ankle Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.