2939 S Haverhill Rd Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

2939 S HAVERHILL RD OPCO LLC

Doing business as

Aviata at Coral Bay

Practice address

2939 S Haverhill Rd
West Palm Beach, FL 33415-8118

Phone

(561) 641-3130

Fax

(561) 641-3167

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Nathan Freund

Title

Manager

Phone

(732) 730-7480

Specialties & licenses 1

Addresses

Other names 1

• Aviata at Coral Bay Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105795

Legal name

2939 S HAVERHILL RD OPCO LLC

Doing business as

AVIATA AT CORAL BAY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

May 4, 1993

Last certification

Apr 10, 2025

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Aspire Health Group

Organization structure

LLCProprietary

Enrollment address

2939 S Haverhill Rd
West Palm Beach, FL 33415-8118

Nursing home name

AVIATA AT CORAL BAY

Affiliated entity

AVIATA HEALTH GROUP

Listed as

Aviata at Coral BayCCN 105795 · 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

May 4, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120112.2 residents per day on average

Chain

Aviata Health Group50 facilities in the chain

Penalties (3 years)

1Fines totaling $9,770

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

• 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)
• HealthSun Health Plans Network
• 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)…

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.

• Yanitza Rodriguez, M.D

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1356515019

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

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

• Shamsad Begum, MD

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1386629673

  Nursing home

  Care Compare affiliation
• Felix Sabaldan Elpedes Jr., M.D.

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1447262993

  Nursing home

  Care Compare affiliation
• Ikenna Nwamba, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1356872832

  Nursing home

  Care Compare affiliation
• Yanitza Rodriguez, M.D

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1356515019

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1265204572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158118",
            "telephone_number": "561-641-3130",
            "fax_number": "561-641-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158118",
            "telephone_number": "561-641-3130",
            "fax_number": "561-641-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2939 S HAVERHILL RD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-730-7480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Consulate Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aviata at Coral Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St Nurse Registry (Health Management Ventures, Inc.)
• 2 Sisters Care Coordination, LLC
• 2047 Palm Beach Lakes Partners LLC (Palm Beach Lakes Surgery Center)
• 2110 West Palm Facility,LLC
• 21St Century Oncology LLC (Raymond Henderson MD)
• 2939 South Haverhill Road Operations LLC (Coral Bay Healthcare and Rehabilitation)
• 365 Home Healthcare LLC
• 4 The Kingdom Cleaners LLC (4 The Kingdom Home Care LLC)
• 45TH St Pain Management LLC
• 4Hearts Medical Transport, LLC

• Skilled Nursing Facility in West Palm Beach, FL
• Providers in West Palm Beach, 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 Apr 9, 2025; 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.