NPIMap

Organization Active NPI

Sun City Center Associates, LTD. (L.P.)

Doing business as Sun Terrace Health Care Center

  • Skilled Nursing Facility
  • Sun City Center, FL
National Provider Identifier
1265427934
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1527096 Issued in FL
Legal business name
SUN CITY CENTER ASSOCIATES, LTD. (L.P.)
Doing business as
Sun Terrace Health Care Center
Practice address
105 Trinity Lakes Dr
Sun City Center, FL 33573-5728
Phone
(813) 634-3324
Fax
(813) 634-5127
NPI assigned
Sep 19, 2005
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Deborah P. Kennedy
Title
Executive Vice President
Phone
(321) 725-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1527096 FL Primary

Addresses

Primary practice location

105 Trinity Lakes Dr
Sun City Center, FL 33573-5728

Mailing address

105 Trinity Lakes Dr
Sun City Center, FL 33573-5728
Phone (813) 634-3324

Other identifiers 1

IdentifierTypeStateIssuer
020985600MedicaidFL

Other names 1

  • Sun Terrace Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020829000002 FL Part A Provider - Skilled Nursing Facility 5092622951 Practice locations: Sun City Center, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265427934. Details of each certification follow.

Skilled nursing facility certification: CCN 105319C

Legal name
SUN CITY CENTER ASSOCIATES LTD LP
Doing business as
SUN TERRACE HEALTH CARE CENTER
Organization structure
OtherProprietary
Incorporated
Jan 12, 1963 in GA
Enrollment address
105 Trinity Lakes Dr
Sun City Center, FL 33573-5728
Nursing home name
SUN TERRACE HEALTH CARE CENTER

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
10D0678586Sun Terrace Health Care Center105 Trinity Lakes Dr, Sun City Center, FL 33573Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

105 Trinity Lakes Dr
Sun City Ctr, FL 33573
Phone (813) 634-3324

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 9

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

NameRoleSinceShare
Naumaan Javed Hafeez Individual Operational/Managerial Control Sep 28, 2021
Adp of the SNF Dec 23, 2025
Sak Jr LLC Organization, Atlanta, GA For-profit, Owned by another organization or individual Limited Partnership Interest Jun 29, 2000 24.5%
SBK LLC Organization, Canton, GA For-profit, Owned by another organization or individual Limited Partnership Interest Jun 29, 2000 24.5%
Deborah P Kennedy Individual Corporate OfficerExecutive Vice President Dec 1, 2003
Operational/Managerial Control Dec 1, 2022
Stiles a Kellett Individual Limited Partnership InterestLimited Partner Jun 29, 2000 25.5%
Kyle Wierzba Individual Corporate DirectorAdministrator Sep 27, 2021
Operational/Managerial Control Sep 27, 2021
Adp of the SNF Dec 19, 2025
Clear Choice Health Care LLC Organization, Melbourne, FL LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2007
Leslie R Partee Individual Corporate OfficerVP of Finance Dec 1, 2022
Operational/Managerial Control Dec 1, 2022
Samuel B Kellet Qtip MRTL TR Organization, Canton, GA For-profit Limited Partnership Interest Dec 1, 2022 25.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

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

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1265427934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRINITY LAKES DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735728",
            "telephone_number": "813-634-3324",
            "fax_number": "813-634-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRINITY LAKES DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735728",
            "telephone_number": "813-634-3324",
            "fax_number": "813-634-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY CENTER ASSOCIATES, LTD. (L.P.)",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "321-725-6131"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1527096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020985600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Terrace Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.