NPIMap

Organization Active NPI

Helen Homes of South Dade, LLC

Doing business as Homestead Manor, a Palace Community

  • Skilled Nursing Facility
  • Homestead, FL
National Provider Identifier
1356612774
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HELEN HOMES OF SOUTH DADE, LLC
Doing business as
Homestead Manor, a Palace Community
Practice address
1330 NW 1St Ave
Homestead, FL 33030-4212
Phone
(305) 248-0271
Fax
(305) 248-7654
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Jacob Shaham
Title
Manager
Phone
(305) 270-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1330 NW 1St Ave
Homestead, FL 33030-4212

Mailing address

10850 SW 113TH PL
Miami, FL 33176-3227
Phone (305) 270-7000

Other names 1

  • Homestead Manor, a Palace Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000042 FL Part A Provider - Skilled Nursing Facility 4183881881 Practice locations: Homestead, FL

Skilled nursing facility certification: CCN 105541

Legal name
HELEN HOMES OF SOUTH DADE, LLC
Doing business as
HOMESTEAD MANOR A PALACE COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1986
Last certification
Aug 8, 2024
Beds
88
Ownership / control type
Partnership
Multi-facility organization
The Palace Group
Organization structure
LLCProprietary
Enrollment address
1330 NW 1St Ave
Homestead, FL 33030-4212
Nursing home name
HOMESTEAD MANOR A PALACE COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Homestead Manor a Palace CommunityCCN 105541 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Nov 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8887.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Helen Homes of South Dade2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Robert M Jaeger Individual Operational/Managerial Control Nov 1, 2011
Adp of the SNF Nov 1, 2011
Professional Care I, Inc. Organization, Miami, FL Management services company, For-profit, Chain home office Operational/Managerial Control Nov 1, 2011
Adp of the SNF Sep 8, 2025
Helen Shaham Individual Adp of the SNF Nov 1, 2011
Direct Ownership Interest Nov 1, 2011 50%
Oscar Ruiz Individual Operational/Managerial Control Nov 1, 2011
Adp of the SNF Nov 1, 2011
Jacob Shaham Individual 5% Or Greater Direct Ownership Interest Nov 1, 2011 50%
Adp of the SNF Nov 1, 2011
Osama Saleh Individual Operational/Managerial Control Dec 15, 2017
Adp of the SNF Dec 15, 2017

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1356612774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-270-7000",
            "fax_number": "305-598-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NW 1ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304212",
            "telephone_number": "305-248-0271",
            "fax_number": "305-248-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN HOMES OF SOUTH DADE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "SHAHAM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-270-7030"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Manor, a Palace Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.