Organization Active NPI

Filosa Opco LLC

  • Skilled Nursing Facility
  • Danbury, CT
National Provider Identifier
1356024848
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FILOSA OPCO LLC
Practice address
13 Hakim St
Danbury, CT 06810-5316
Phone
(203) 744-3366
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Jeff Kagan
Title
Authorized Signer
Phone
(203) 744-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13 Hakim St
Danbury, CT 06810-5316

Mailing address

13 Hakim St
Danbury, CT 06810-5316
Phone (203) 744-3366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231127002331 CT Part A Provider - Skilled Nursing Facility 5092163360 Practice locations: Danbury, CT

Skilled nursing facility certification: CCN 075074

Legal name
FILOSA OPCO LLC
Doing business as
HAVENCARE AT FILOSA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 10, 1968
Last certification
Aug 7, 2024
Beds
64
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 12, 2023
Organization structure
LLCProprietary
Enrollment address
13 Hakim St
Danbury, CT 06810-5316
Nursing home name
HAVENCARE AT FILOSA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Havencare at FilosaCCN 075074 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 10, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6458.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0101052Filosa Opco LLC D/B/a Havencare at Filosa13 Hakim Street, Danbury, CT 06810Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
NMJ Irrv TR II Organization, Surfside, FL 5% Or Greater Indirect Ownership Interest Sep 12, 2023 25.68%
NMJ Holdings LLC Organization, Baltimore, MD LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2023 27%
Jeffrey H Kagan Individual W-2 Managing EmployeeManager Sep 12, 2023
Nathan Jakobovits Individual W-2 Managing EmployeeManager Sep 12, 2023
Jek Holdings LLC Organization, Silver Spring, MD LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2023 27%
Jek Irrv TR II Organization, Surfside, FL 5% Or Greater Indirect Ownership Interest Sep 12, 2023 25.68%
Danbury Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Sep 12, 2023 100%
Yitzchok Dovid Shapiro Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2023 15%
W-2 Managing EmployeeManager Sep 12, 2023

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 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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1356024848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HAKIM ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105316",
            "telephone_number": "203-744-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HAKIM ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105316",
            "telephone_number": "203-744-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILOSA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "203-744-3366"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.