NPIMap

Organization Active NPI

Avante at Ormond Beach, Inc.

  • Skilled Nursing Facility
  • Ormond Beach, FL
National Provider Identifier
1265596340
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF13960961 Issued in FL
Legal business name
AVANTE AT ORMOND BEACH, INC.
Practice address
170 N Old Kings Rd
Ormond Beach, FL 32174-5118
Phone
(386) 267-0254
Fax
(386) 676-9573
NPI assigned
Dec 21, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Kimberly L. Biegasiewicz
Title
President
Phone
(407) 216-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF13960961 FL Primary

Addresses

Primary practice location

170 N Old Kings Rd
Ormond Beach, FL 32174-5118

Mailing address

5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643
Phone (407) 216-0101

Other identifiers 1

IdentifierTypeStateIssuer
025203400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000591 FL Part A Provider - Skilled Nursing Facility 7315095312 Practice locations: Ormond Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265596340. Details of each certification follow.

Skilled nursing facility certification: CCN 105310

Legal name
AVANTE AT ORMOND BEACH, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1980
Last certification
Mar 20, 2025
Beds
133
Ownership / control type
Corporation
Multi-facility organization
Avante Group
Organization structure
CorporationProprietary
Incorporated
Aug 17, 2000 in FL
Enrollment address
170 North Kings Road
Ormond Beach, FL 32174-5118
Nursing home name
AVANTE AT ORMOND BEACH, INC
Affiliated entity
AVANTE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avante at Ormond Beach, IncCCN 105310 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13396.0 residents per day on average
Chain
Avante Centers11 facilities in the chain

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
10D0876999Avante at Ormond Beach Inc170 N Kings Rd, Ormond Beach, FL 32174Certificate of waiverSep 27, 2027

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 8

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

NameRoleSinceShare
John C. Hornack Individual Corporate OfficerSecretary Apr 24, 2019
Venus Etheridge Individual Adp of the SNF Apr 14, 2026
Kimberly L. Biegasiewicz Individual Corporate OfficerPresident Feb 4, 2022
Corporate DirectorDirector, Chairman Feb 4, 2022
Operational/Managerial Control Feb 4, 2022
Sisel Klurman 2001 Revocable Trust Organization, Orlando, FL 5% Or Greater Indirect Ownership Interest Apr 9, 2010 25.37%
Trustee of the SNF Apr 9, 2010
Avante Group, Inc. Organization, Orlando, FL Corporation, For-profit, Chain home office Operational/Managerial Control Oct 2, 2000
Ag Holdings, Inc. Organization, Orlando, FL Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 17, 2000 100%
Yacob Yousif Habboush Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jan 12, 2026
Mona Mizrachi 1994 Trust Organization, Orlando, FL 5% Or Greater Indirect Ownership Interest Jun 20, 1989 7.68%
Trustee of the SNF Jun 20, 1989

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.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1265596340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-216-0101",
            "fax_number": "407-318-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N OLD KINGS RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745118",
            "telephone_number": "386-267-0254",
            "fax_number": "386-676-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE AT ORMOND BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "BIEGASIEWICZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-216-0101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13960961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025203400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.