Active NPI
Bear Creek Nursing Center, LLC
- Skilled Nursing Facility
- Hudson, FL
National Provider Identifier
1285679597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BEAR CREEK NURSING CENTER, LLC
- Practice address
- 8041 State Road 52
Hudson, FL 34667-6726 - Phone
- (727) 863-5488
- Fax
- (727) 862-9558
- NPI assigned
- Jun 19, 2006
- Last updated
- Apr 30, 2014
- Organization subpart
- Yes
- Parent organization
- HEALTH SERVICES MANAGEMENT, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria A Owens-Wicker, NURSING HOME ADMINIS
- Title
- Administrator
- Phone
- (727) 863-5488
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF10460962 | FL | |
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8041 State Road 52
Hudson, FL 34667-6726
Mailing address
8041 State Road 52
Hudson, FL 34667-6726
Phone (727) 863-5488
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219410 | Other | AMERIGROUP | |
| 022856700 | Medicaid | FL | |
| 14773 | Other | STAYWELL/WELLCARE | |
| 01459 | Other | UNIVERSAL HC | |
| 103501 | Other | CITRUS HEALTHCARE | |
| L06 | Other | FL | BCBS |
| 7105581 | Other | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080129000172 | FL | Part A Provider - Skilled Nursing Facility | 9739261835 | Practice locations: Hudson, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285679597. Details of each certification follow.
Skilled nursing facility certification: CCN 105393
- Legal name
- BEAR CREEK NURSING CENTER LLC
- Doing business as
- BEAR CREEK NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 15, 1981
- Last certification
- Mar 14, 2024
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Health Services Management
- Organization structure
- LLC
- Incorporated
- Sep 15, 2000 in DE
- Enrollment address
- 8041 State Route 52
Hudson, FL 34667-6726 - Nursing home name
- BEAR CREEK NURSING CENTER
- Affiliated entity
- HEALTH SERVICES MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bear Creek Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 15, 1981
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Health Services Management
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0026153 | Bear Creek Nursing Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| National Health Investors, Inc. | 5% Or Greater Mortgage Interest | Feb 20, 2008 | 100% |
| Adp of the SNF | Feb 20, 2008 | ||
| Nhi-Reit of Florida, LLC | 5% Or Greater Mortgage Interest | Feb 20, 2008 | 100% |
| Adp of the SNF | Feb 20, 2008 | ||
| Mario Talanga | Operational/Managerial Control | Feb 20, 2008 | |
| Adp of the SNF | Feb 20, 2008 | ||
| Jim Shatz | Corporate Officer | Apr 6, 2021 | |
| Operational/Managerial Control | Apr 6, 2021 | ||
| Joshua L White | Corporate Officer | Feb 20, 2008 | |
| Operational/Managerial Control | Feb 20, 2008 | ||
| Brian Jackson | Corporate Officer | Feb 20, 2008 | |
| Operational/Managerial Control | Feb 20, 2008 | ||
| Kevin Baxter | Corporate Officer | Feb 20, 2008 | |
| Operational/Managerial Control | Feb 20, 2008 | ||
| Teresa Timmons | Operational/Managerial Control | Mar 7, 2022 | |
| Adp of the SNF | Mar 7, 2022 | ||
| Scott Fisher | Corporate Officer | Apr 2, 2012 | |
| Operational/Managerial Control | Feb 20, 2008 | ||
| Health Services Management, Inc. | 5% Or Greater Direct Ownership Interest | Oct 1, 2000 | 100% |
| Operational/Managerial Control | Oct 1, 2000 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Bayonet Point, FL
- NPI 1144717943
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Trenton, FL
- NPI 1295781870
Health Services Management, Inc.
-
dba Brooksville Healthcare Center
- Skilled Nursing Facility
- Brooksville, FL
- NPI 1497750954
Health Services Management, Inc.
-
dba Cypress Cove Care Center
- Nursing Facility/Intermediate Care Facility
- Crystal River, FL
- NPI 1932100229
Health Services Management, Inc.
-
dba Heather Hill Healthcare Center
- Skilled Nursing Facility
- New Port Richey, FL
- NPI 1982601670
Health Services Management, Inc.
-
- Skilled Nursing Facility
- Dade City, FL
- NPI 1588660922
Health Services Management, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Bayonet Point, FL
- NPI 1801183520
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1285679597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8041 STATE ROAD 52",
"city": "HUDSON",
"state": "FL",
"postal_code": "346676726",
"telephone_number": "727-863-5488",
"fax_number": "727-862-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8041 STATE ROAD 52",
"city": "HUDSON",
"state": "FL",
"postal_code": "346676726",
"telephone_number": "727-863-5488",
"fax_number": "727-862-9558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAR CREEK NURSING CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH SERVICES MANAGEMENT, INC.",
"enumeration_date": "2006-06-19",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "OWENS-WICKER",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "727-863-5488",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURSING HOME ADMINIS"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF10460962",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "219410",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022856700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL/WELLCARE",
"identifier": "14773",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL HC",
"identifier": "01459",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HEALTHCARE",
"identifier": "103501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "L06",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "7105581",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.