NPIMap

Organization Active NPI

Chautauqua Springs Health Center LLC

  • Skilled Nursing Facility
  • Defuniak Springs, FL
National Provider Identifier
1235865726
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHAUTAUQUA SPRINGS HEALTH CENTER LLC
Practice address
785 S 2ND St
Defuniak Springs, FL 32435-4903
Phone
(850) 892-2176
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Mayer Fischl
Title
Cfo
Phone
(718) 757-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

785 S 2ND St
Defuniak Springs, FL 32435-4903

Mailing address

785 S 2ND St
Defuniak Springs, FL 32435-4903

Other names 1

  • Chautauqua Springs Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230203000151 FL Part A Provider - Skilled Nursing Facility 6305218280 Practice locations: Defuniak Springs, FL

Skilled nursing facility certification: CCN 105626

Legal name
CHAUTAUQUA SPRINGS HEALTH CENTER LLC
Doing business as
CHAUTAUQUA SPRINGS HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 3, 1988
Last certification
Mar 13, 2025
Beds
180
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 8, 2022
Organization structure
LLCProprietary
Incorporated
Jul 7, 2022 in FL
Enrollment address
785 S 2ND St
Defuniak Springs, FL 32435-4903
Nursing home name
CHAUTAUQUA SPRINGS HEALTH CENTER
Affiliated entity
BENJAMIN LANDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chautauqua Springs Health CenterCCN 105626
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 3, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180131.1 residents per day on average
Chain
Benjamin Landa48 facilities in the chain

Processed by Care Compare on Aug 1, 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 8

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

NameRoleSinceShare
Mayer Fischel Individual 5% Or Greater Indirect Ownership Interest Oct 8, 2022 10%
ZBL-18 LLC Organization, Brooklyn, NY Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 8, 2022 10%
Mathew K Varghese Individual 5% Or Greater Indirect Ownership Interest Oct 8, 2022 10%
Premier 4 Opco Partners LLC Organization, Richmond, KY Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 8, 2022 100%
Chautauqua Springs Health Member LLC Organization, Defuniak Springs, FL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 7, 2022 100%
Benjamin Landa Individual 5% Or Greater Indirect Ownership Interest Oct 8, 2022 10.01%
Corporate Officer Oct 8, 2022 100%
Emily Hittinger Individual W-2 Managing EmployeeAdministrator Oct 8, 2022 100%
Flnho Capital Group LLC Organization, Mineola, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 8, 2022 70%

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1235865726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 S 2ND ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324354903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 S 2ND ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324354903",
            "telephone_number": "850-892-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA SPRINGS HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "FISCHL",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-757-6399"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua Springs Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.