Active NPI
University Opco LLC
- Skilled Nursing Facility
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNIVERSITY OPCO LLC
- Practice address
- 3648 University Blvd S
Jacksonville, FL 32216-4208 - Phone
- (904) 733-7440
- NPI assigned
- Jul 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josef Cukier
- Title
- Manager
- Phone
- (904) 733-7440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3648 University Blvd S
Jacksonville, FL 32216-4208
Mailing address
3648 University Blvd S
Jacksonville, FL 32216-4208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221214000313 | FL | Part A Provider - Skilled Nursing Facility | 4981073954 | Practice locations: Jacksonville, FL |
Skilled nursing facility certification: CCN 105366
- Legal name
- UNIVERSITY OPCO LLC
- Doing business as
- VIVO HEALTHCARE UNIVERSITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1980
- Last certification
- Nov 7, 2024
- Beds
- 117
- Ownership / control type
- Corporation
- Multi-facility organization
- Vivo Healthcare
- Most recent change of ownership
- Sep 9, 2022
- Organization structure
- LLC
- Enrollment address
- 3648 University Boulevard South
Jacksonville, FL 32216-4208 - Nursing home name
- VIVO HEALTHCARE UNIVERSITY
- Affiliated entity
- VIVO HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vivo Healthcare University
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1980
- Medicare certification status
- Active
- Certified beds
- 117
- Chain
- Vivo Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Jayna M Moore | Adp of the SNF | Sep 3, 2024 | |
| NMJ Irrv TR II | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 12.5% |
| Vivo Healthcare Consulting LLC | Adp of the SNF | Sep 9, 2022 | |
| Benjamin Gluck | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 5% |
| 5% Or Greater Mortgage Interest | Sep 9, 2022 | 5% | |
| Operational/Managerial Control | Sep 9, 2022 | ||
| Adp of the SNF | Sep 9, 2022 | ||
| Josef Cukier | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 10% |
| Corporate Officer | Sep 9, 2022 | 100% | |
| Operational/Managerial Control | Sep 9, 2022 | ||
| Adp of the SNF | Sep 9, 2022 | ||
| Jacksonville 3 University Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 9, 2022 | 100% |
| Judah Jacobowitz | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 5% |
| Adp of the SNF | Sep 9, 2022 | ||
| NMJ Holdings LLC | Adp of the SNF | Sep 9, 2022 | |
| Indirect Ownership Interest | Sep 9, 2022 | 12.5% | |
| Jeffrey H Kagan | Direct Ownership Interest | Sep 9, 2022 | 4.9% |
| Ab Marbec Realty Group | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 8.8% |
| Adp of the SNF | Sep 9, 2022 | ||
| Brocha Cukier | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 10% |
| 5% Or Greater Mortgage Interest | Sep 9, 2022 | 10% | |
| Adp of the SNF | Sep 9, 2022 | ||
| Jek Holdings LLC | Adp of the SNF | Sep 9, 2022 | |
| Indirect Ownership Interest | Sep 9, 2022 | 12.5% | |
| Jek Irrv TR II | 5% Or Greater Indirect Ownership Interest | Sep 9, 2022 | 12.5% |
| Marc B Blatt | Adp of the SNF | Dec 2, 2022 | |
| Summation Financial Services LLC | Adp of the SNF | Sep 9, 2022 | |
| Forvis Mazars LLP | Adp of the SNF | Sep 9, 2022 | |
| Pease Bell Cpas LLC | Adp of the SNF | Sep 9, 2022 | |
| Shalom Friedland | Operational/Managerial Control | Sep 9, 2022 | |
| Jacksonville 3 Propco Holdings LLC | 5% Or Greater Mortgage Interest | Sep 9, 2022 | 100% |
| University Propco LLC | 5% Or Greater Mortgage Interest | Sep 9, 2022 | 100% |
| Adp of the SNF | Sep 9, 2022 | ||
| SF Irrevocable Trust | Adp of the SNF | Sep 9, 2022 | |
| Indirect Ownership Interest | Sep 9, 2022 | 10% |
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 15
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1528792074
Jek Irrv TR II, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Fort Pierce, FL
- NPI 1588341382
Jek Irrv TR II, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1851142392
Jek Irrv TR II, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1942932520
Ab Marbec Realty Group, Jek Irrv TR II, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Orange Park, FL
- NPI 1841923265
Ab Marbec Realty Group, Jek Irrv TR II, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Winter Haven, FL
- NPI 1336826148
Jek Irrv TR II, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Adelphi, MD
- NPI 1184312100
Jek Irrv TR II, NMJ Irrv TR II
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656633600000",
"number": "1306579909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3648 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3648 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164208",
"telephone_number": "904-733-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "CUKIER",
"authorized_official_first_name": "JOSEF",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "904-733-7440"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- University of Florida Jacksonville Physicians, Inc.
- University of Florida Jacksonville Physicians, Inc.
- University of Florida Jacksonville Physicians, Inc.
- University of Florida, Jacksonville
- University of North Florida Student Medical Service
- University Pharmacy of Jacksonville, Inc
- Kelly Hodson Unkrich, M.D.
- Unlimited Care , Inc
- Unlimited Home Care LLC
- Untouchable Joy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.