Organization Active NPI

Fi-Waldemere, LLC

  • Skilled Nursing Facility
  • Sarasota, FL
National Provider Identifier
1295739803
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF11350961 Issued in FL
Legal business name
FI-WALDEMERE, LLC
Practice address
1524 S East Ave
Sarasota, FL 34239-2324
Phone
(941) 365-2422
Fax
(941) 952-1756
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Howard Jaffe
Title
President
Phone
(215) 346-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF11350961 FL Primary

Addresses

Primary practice location

1524 S East Ave
Sarasota, FL 34239-2324

Mailing address

1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 801-7600

Other identifiers 1

IdentifierTypeStateIssuer
026398200MedicaidFL

Other names 1

  • SARASOTA HEALTH AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000285 FL Part A Provider - Skilled Nursing Facility 3173433786 Practice locations: Sarasota, FL

Skilled nursing facility certification: CCN 105155B

Legal name
FI-WALDEMERE, LLC
Doing business as
SARASOTA HEALTH & REHAB CENTER
Organization structure
LLCNon-profit
Incorporated
Dec 23, 2002 in FL
Enrollment address
1524 East Avenue South
Sarasota Health and Rehabilitation Center
Sarasota, FL 34239-2324
Nursing home name
SARASOTA HEALTH AND REHABILITATION CENTER
Affiliated entity
FLORIDA INSTITUTE FOR LONG-TERM CARE

National Provider Directory

National Provider Directory
Tax ID family
Fi-Waldemere LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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 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)…
  • 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 14

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

NameRoleSinceShare
Aegir Health Management LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Sep 1, 2009
Adp of the SNF Apr 8, 2025
Omega Healthcare Investors, Inc Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT) Adp of the SNF Jul 1, 2003
James P Mullarkey Individual Corporate OfficerBoard Member Jul 1, 2014
John Richards Individual Operational/Managerial Control Sep 8, 2020
Adp of the SNF Sep 8, 2020
Howard Jaffe Individual Corporate OfficerBoard Member Jul 1, 2014
Tressa Amador Individual Operational/Managerial Control Jul 5, 2017
Adp of the SNF Jul 5, 2017
Penny Richmond Individual Corporate OfficerBoard Member Jul 1, 2014
Florida Institute for Long Term Care LLC Organization, West Palm Beach, FL LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2002 100%
Adp of the SNF Apr 8, 2025
Kathy Katz-Hall Individual Corporate OfficerBoard Member Jul 1, 2014
Fi-Waldemere, LLC Organization, Sarasota, FL LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 23, 2002 100%
Consulting Support Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 28, 2011
Adp of the SNF Apr 8, 2025
Facility Support Company, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Dec 13, 2010
Adp of the SNF Mar 24, 2025
Kane Financial Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 6, 2012
Adp of the SNF Mar 24, 2025
Select Rehabilitation, LLC Organization, Glenview, IL LLC Adp of the SNF Aug 19, 2016

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1295739803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012108",
            "telephone_number": "561-801-7600",
            "fax_number": "414-268-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S EAST AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392324",
            "telephone_number": "941-365-2422",
            "fax_number": "941-952-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FI-WALDEMERE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11350961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026398200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARASOTA HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.