NPIMap

Organization Active NPI

Stacey Health Care Centers Inc Riverside Care Center

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1215926910
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1478096 Issued in FL
Legal business name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Practice address
899 NW 4TH St
Miami, FL 33128-1309
Phone
(305) 326-1236
Fax
(305) 326-1647
NPI assigned
Oct 17, 2005
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Mr. Richard Eugene Stacey Sr.
Title
President
Phone
(305) 326-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1478096 FL Primary

Addresses

Primary practice location

899 NW 4TH St
Miami, FL 33128-1309

Mailing address

899 NW 4TH St
Miami, FL 33128-1309
Phone (305) 326-1236

Other identifiers 1

IdentifierTypeStateIssuer
020727600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000380 FL Part A Provider - Skilled Nursing Facility 7113173212 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215926910. Details of each certification follow.

Skilled nursing facility certification: CCN 105432

Legal name
STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 14, 1983
Last certification
Mar 6, 2025
Beds
120
Ownership / control type
Individual
Organization structure
CorporationProprietary
Incorporated
Jul 15, 1982 in FL
Enrollment address
899 NW 4TH Street
Miami, FL 33128-1309
Nursing home name
RIVERSIDE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverside Care CenterCCN 105432 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 14, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.1 residents per day on average

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
10D0701236Riverside Care Center899 NW 4TH Street, Miami, FL 33128Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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)

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Agnes Alejandre Individual Operational/Managerial Control Oct 31, 2021
Marlenis Bencomo Individual Operational/Managerial Control Nov 2, 2021
Health Resort Management LLC Organization, Miami, FL LLC, Chain home office Adp of the SNF Oct 31, 2025
Lourdes Lopez Individual Operational/Managerial Control Mar 1, 2022
Individual Adp of the SNF Feb 6, 2025
Richard Stacey Sr Individual 5% Or Greater Direct Ownership InterestOwner / Ceo Mar 29, 2012 100%
Operational/Managerial Control Mar 29, 2012
Individual Adp of the SNF Feb 6, 2025
Angela Succop Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Elizabeth Stacey Individual Operational/Managerial Control Jan 1, 2025
Stacey Health Care Centers Inc Riverside Care Center Organization, Miami, FL Corporation 5% Or Greater Direct Ownership Interest Mar 29, 2012 100%
Frank Lopresti Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Forvis Mazars LLP Organization, Springfield, MO Consulting firm, For-profit Operational/Managerial Control Nov 1, 2024
Adp of the SNF Aug 6, 2025
Angelina Gold Individual Operational/Managerial Control Oct 31, 2021
Magda Solorzano Individual Operational/Managerial Control Sep 29, 2023
Adrian Liva Individual Operational/Managerial Control Mar 1, 2022

Facilities with the same owner 87

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

View all 87

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1215926910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281309",
            "telephone_number": "305-326-1236",
            "fax_number": "305-326-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281309",
            "telephone_number": "305-326-1236",
            "fax_number": "305-326-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY HEALTH CARE CENTERS INC RIVERSIDE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-326-1236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1478096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020727600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.