Terrace Healthcare & Rehabilitation Center LLC
Organization Active NPI Skilled Nursing Facility · Gainesville, FL
NPI 1336898527 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1336898527
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- TERRACE HEALTHCARE & REHABILITATION CENTER LLC
- Practice address
- 7207 SW 24TH Ave
Gainesville, FL 32607-3706 - Phone
- (352) 333-0600
- NPI assigned
- Mar 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Moshe Scheiner
- Title
- Authorized Official
- Phone
- (845) 490-6060
Facilities with the same owner 34
Affiliated clinicians 4
-
John F Brandt, MD
-
Yogi R Patel, M.D.
-
Eber Levi Wright, MD
Medicare Care Compare: Nursing home
- Listed as
- Terrace Healthcare & Rehabilitation Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 27, 2002
- Medicare certification status
- Active
- Certified beds
- 138 · 132.4 residents per day on average
- Chain
- Gold FL Trust II
- Penalties (3 years)
- 1 · fines totaling $13,674
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0997758 | Terrace Healthcare & Rehabilitation Center LLC | Certificate of waiver | Mar 26, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Skilled nursing facility certification: CCN 106046
- Legal name
- TERRACE HEALTHCARE & REHABILITATION CENTER LLC
- Doing business as
- TERRACE HEALTHCARE & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 27, 2002
- Last certification
- Oct 4, 2024
- Beds
- 138
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 27, 2022 in FL
- Enrollment address
- 7207 SW 24TH Ave
Gainesville, FL 32607-3706 - Nursing home name
- TERRACE HEALTHCARE & REHABILITATION CENTER
- Affiliated entity
- GOLD FL TRUST II
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Silver FL Trust II |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 45% |
| Lisena Mathurin |
W-2 Managing Employee |
Jul 27, 2022 | 100% |
| Copper FL Trust II |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 10% |
| Jack Y Shelby |
Corporate Officer | Jul 27, 2022 | 100% |
| Terrace SNF Holdco LLC |
5% Or Greater Direct Ownership Interest | Mar 23, 2022 | 100% |
| FL Master Opco Holdco LLC |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 100% |
| Gold FL Trust II |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 45% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221217000442 | FL | Part a Provider - Skilled Nursing Facility | 3779952536 | Practice locations: Gainesville, FL |
National Provider Directory
Locations
3265 SW 34th St
Gainesville, FL 32608
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
7207 SW 24TH Ave
Gainesville, FL 32607-3706
Mailing address
7207 SW 24TH Ave
Gainesville, FL 32607-3706
Other providers in Gainesville, FL
- Angela Tenerelli
- Ashley Tensley
- Sarah Orlena Teoli
- Teresa M Picciocchi PSYD Inc
- Terrace Health NH LLC
- Krista Pennington Terracina
- Tracy M Terrell
- Charlotte S Terry-Mendez
- Russell Stevens Terry Jr.
- Terriona Terry
All providers in Gainesville, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.