NPIMap

Organization Active NPI

Winter Haven Opco LLC

Doing business as Vivo Healthcare Winter Haven

  • Skilled Nursing Facility
  • Winter Haven, FL
National Provider Identifier
1336826148
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINTER HAVEN OPCO LLC
Doing business as
Vivo Healthcare Winter Haven
Practice address
2701 Lake Alfred Rd
Winter Haven, FL 33881-1432
Phone
(863) 298-5000
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Josef Cukier
Title
Member
Phone
(732) 200-1155

Specialties & licenses 1

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

Addresses

Primary practice location

2701 Lake Alfred Rd
Winter Haven, FL 33881-1432

Mailing address

2701 Lake Alfred Rd
Winter Haven, FL 33881-1432

Other names 1

  • Vivo Healthcare Winter Haven Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123000753 FL Part A Provider - Skilled Nursing Facility 7113379470 Practice locations: Winter Haven, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336826148. Details of each certification follow.

Skilled nursing facility certification: CCN 105998

Legal name
WINTER HAVEN OPCO LLC
Doing business as
VIVO HEALTHCARE WINTER HAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 2, 1998
Last certification
Apr 10, 2025
Beds
120
Ownership / control type
Individual
Most recent change of ownership
Sep 1, 2023
Organization structure
LLCProprietary
Enrollment address
2701 Lake Alfred Rd
Winter Haven, FL 33881-1432
Nursing home name
VIVO HEALTHCARE WINTER HAVEN
Affiliated entity
VIVO HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vivo Healthcare Winter HavenCCN 105998 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Oct 2, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120104.8 residents per day on average
Chain
Vivo Healthcare12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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 17

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

NameRoleSinceShare
Jared Harper Individual Adp of the SNF Feb 1, 2024
NMJ Irrv TR II Organization, Surfside, FL Created for acquisition, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 6%
Vivo Healthcare Consulting LLC Organization, Lakewood, NJ LLC Adp of the SNF Sep 1, 2023
Winter Haven Holco LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Melissa C Kirby Individual Adp of the SNF Jun 1, 2023
Benjamin Gluck Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 12%
Operational/Managerial Control Sep 1, 2023
Josef Cukier Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 49%
Corporate OfficerCeo Sep 1, 2023 100%
Operational/Managerial Control Sep 1, 2023
NMJ Holdings LLC Organization, Baltimore, MD Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 5%
Jeffrey H Kagan Individual Direct Ownership Interest Sep 1, 2023 4.9%
Nathan Jakobovits Individual 5% Or Greater Direct Ownership Interest Sep 1, 2023 4.9%
Yitzchok Becker Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 10%
Jek Holdings LLC Organization, Silver Spring, MD Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 5%
Jek Irrv TR II Organization, Silver Spring, MD 5% Or Greater Indirect Ownership Interest Sep 1, 2023 6%
Summation Financial Services LLC Organization, Valley Stream, NY LLC Adp of the SNF Sep 1, 2023
Forvis Mazars LLP Organization, Fort Lauderdale, FL Adp of the SNF Sep 1, 2023
Pease Bell Cpas LLC Organization, Cleveland, OH LLC Adp of the SNF Sep 1, 2023
Shalom Friedland Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 19%
Operational/Managerial Control Sep 1, 2023

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 16

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

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1336826148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811432",
            "telephone_number": "863-298-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER HAVEN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "CUKIER",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-200-1155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivo Healthcare Winter Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.