NPIMap

Organization Active NPI

Waterman SNF Operations LLC

Doing business as Solaris Healthcare Waterman

  • Skilled Nursing Facility
  • Tavares, FL
National Provider Identifier
1285333294
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WATERMAN SNF OPERATIONS LLC
Doing business as
Solaris Healthcare Waterman
Practice address
4501 Waterman Way
Tavares, FL 32778-5312
Phone
(352) 609-4000
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Solomon Klein
Title
Ceo
Phone
(347) 909-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4501 Waterman Way
Tavares, FL 32778-5312

Mailing address

267 Broadway
Brooklyn, NY 11211-6216

Other identifiers 2

IdentifierTypeStateIssuer
100964700MedicaidFL
10-6119OtherMEDICARE

Other names 1

  • Solaris Healthcare Waterman Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220001764 FL Part A Provider - Skilled Nursing Facility 5890145635 Practice locations: Tavares, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285333294. Details of each certification follow.

Skilled nursing facility certification: CCN 106119

Legal name
WATERMAN SNF OPERATIONS LLC
Doing business as
SOLARIS HEALTHCARE WATERMAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 15, 2018
Last certification
Apr 25, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Solaris Healthcare
Organization structure
LLCProprietary
Incorporated
Dec 22, 2022 in DE
Enrollment address
4501 Waterman Way
Tavares, FL 32778-5312
Nursing home name
SOLARIS HEALTHCARE WATERMAN
Affiliated entity
SOLARIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Solaris Healthcare WatermanCCN 106119 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 15, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120117.0 residents per day on average
Chain
Solaris Healthcare22 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
10D2150192Solaris Healthcare Waterman4501 Waterman Way, Tavares, FL 32778Certificate of waiverJun 18, 2028

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
SK Acc II Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jun 5, 2023
Solomon Klein Individual Corporate OfficerCeo and Authorized Official. Jun 5, 2023
Seam Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jun 5, 2023
Timothy V. Leonard Individual Operational/Managerial ControlAdministrator Jun 5, 2023
Yisroel E Herzka Individual OtherMember Jun 5, 2023
Acc II SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jun 5, 2023
CH Acc II Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jun 5, 2023
Waterman SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 5, 2023

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1285333294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785312",
            "telephone_number": "352-609-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-909-1811"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100964700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10-6119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solaris Healthcare Waterman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.