Lutz Rehab and Health Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LUTZ REHAB AND HEALTH CENTER LLC

Practice address

19091 N Dale Mabry Hwy
Lutz, FL 33548-4982

Phone

(813) 751-0557

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By 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

Rachel Schuster, LNHA

Title

Corporate Administrator

Phone

(305) 458-3835

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 1255943288. Details of each certification follow.

• CCN 106093 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 106093

Legal name

LUTZ REHAB AND HEALTH CENTER LLC

Doing business as

LAKES AT LUTZ HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 2012

Last certification

Apr 18, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Aston Health

Organization structure

LLCProprietary

Incorporated

Jul 14, 2020 in DE

Enrollment address

19091 N Dale Mabry Hwy
Lutz, FL 33548-4982

Nursing home name

LUXE AT LUTZ REHABILITATION CENTER (THE)

Listed as

Luxe at Lutz Rehabilitation Center (the)CCN 106093 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120115.1 residents per day on average

Penalties (3 years)

1Fines totaling $50,225

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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)

All disclosed owners & managing parties 9

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.

• Haseeb Shahid Hashmi, M.D.

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1760605190

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 7

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

• Barbara Calderon-Vizcarrondo, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tampa, FL
  • NPI 1104050640

  Nursing home

  Care Compare affiliation
• Vincent J Dilella, DO

  • Family Medicine Physician
  • Dunedin, FL
  • NPI 1760471502

  Nursing home

  Care Compare affiliation
• Ihtasham Habib, MD

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1932374469

  Nursing home

  Care Compare affiliation
• Matthew Taylor Hartlage, M.D.

  • Hospitalist Physician
  • Zephyrhills, FL
  • NPI 1912192592

  Nursing home

  Care Compare affiliation
• Haseeb Shahid Hashmi, M.D.

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1760605190

  Nursing home

  Care Compare affiliation
• Prudhvi Rajan Karumanchi, M.D., M.P.H.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1477723781

  Nursing home

  Care Compare affiliation
• Vanessa Veve, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Tampa, FL
  • NPI 1558395574

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1255943288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216295",
            "telephone_number": "718-852-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19091 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484982",
            "telephone_number": "813-751-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTZ REHAB AND HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
        "authorized_official_telephone_number": "305-458-3835",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Joseph Luter
• Lutz Counseling Services LLC
• Lutz Dentist Office, PA (Luts Dentist Office)
• Lutz Endodontics PLLC
• Lutz Pharmacy LLC (Lutz Pharmacy)
• Luxottica of America Inc. (Target Optical #4436)
• Ma Santoshi LLC (Greencare Pharmacy)
• Ma Santoshi LLC (Green Care Pharmacy)
• Li Ma, MD, PHD
• Ma, MD, LLC

• Skilled Nursing Facility in Lutz, FL
• Providers in Lutz, 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 Aug 20, 2020; 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.