Active NPI
Filosa Opco LLC
- Skilled Nursing Facility
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Filosa
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 10, 1968
- Medicare certification status
- Active
- Certified beds
- 64
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0101052 | Filosa Opco LLC D/B/a Havencare at Filosa | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| NMJ Irrv TR II | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 25.68% |
| NMJ Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 27% |
| Jeffrey H Kagan | W-2 Managing Employee | Sep 12, 2023 | |
| Nathan Jakobovits | W-2 Managing Employee | Sep 12, 2023 | |
| Jek Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 27% |
| Jek Irrv TR II | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 25.68% |
| Danbury Opco LLC | 5% Or Greater Direct Ownership Interest | Sep 12, 2023 | 100% |
| Yitzchok Dovid Shapiro | 5% Or Greater Indirect Ownership Interest | Sep 12, 2023 | 15% |
| W-2 Managing Employee | Sep 12, 2023 |
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Danbury, CT
- NPI 1356024574
Danbury Opco LLC, Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
dba Havencare at Litchfield Woods
- Skilled Nursing Facility
- Torrington, CT
- NPI 1568262798
Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
dba Havencare at Valerie Manor
- Skilled Nursing Facility
- Torrington, CT
- NPI 1346040565
Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1528792074
Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
dba Peace Healthcare at Lions Center
- Skilled Nursing Facility
- Cumberland, MD
- NPI 1740948298
Jek Holdings LLC, NMJ Holdings LLC
-
dba Vivo Healthcare Ft Pierce
- Skilled Nursing Facility
- Fort Pierce, FL
- NPI 1588341382
Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
dba Vivo Healthcare Gandy
- Skilled Nursing Facility
- Tampa, FL
- NPI 1558158501
Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
dba Havens at Pensacola
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1851142392
Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Adelphi, MD
- NPI 1184312100
Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1942932520
Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Orange Park, FL
- NPI 1841923265
Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II
-
- Skilled Nursing Facility
- Catonsville, MD
- NPI 1588381990
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": "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
- Lizabeth J Fiedler, MD
- Juana Antonia Fields, RDH
- Filosa Care Center, Inc. (Hancock Hall)
- Filosa Care Center,Inc. (Hancock Hall)
- Filosa Convalescent Home,Inc. (Filosa for nursing and rehabilitation)
- Susan Virginia Filosa, LPC
- Michelle S Finch, M.S. LPC
- Peter L Fine, MD
- Annette Anahid Finkelstein, MSN, APRN
- Rosebella Calpito Finnegan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.