18TH St Sarasota, Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

18TH ST SARASOTA, OPCO LLC

Practice address

1755 18TH St
Sarasota, FL 34234-8657

Phone

(718) 916-1443

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Neuman

Title

Authorized Member

Phone

(718) 916-1443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366228132. Details of each certification follow.

• CCN 105774 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105774

Legal name

18TH ST SARASOTA OPCO LLC

Doing business as

INDIAN BEACH NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1992

Last certification

Jan 9, 2025

Beds

101

Ownership / control type

Other Nonprofit

Most recent change of ownership

Sep 1, 2023

Organization structure

LLCProprietary

Incorporated

Jul 19, 2023 in DE

Enrollment address

1755 18TH St
Sarasota, FL 34234-8657

Nursing home name

INDIAN BEACH NURSING AND REHAB CENTER

Affiliated entity

ELIYAHU MIRLIS

Listed as

Indian Beach Nursing and Rehab CenterCCN 105774 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Jun 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10195.9 residents per day on average

Chain

Eliyahu Mirlis13 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $427,597

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Daniel Lee Thorngren III, M.D.

  • Internal Medicine Physician
  • Safety Harbor, FL
  • NPI 1033537105

  Contracted Managing Employee, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Dania Beach Opco LLC

  • Nursing Facility/Intermediate Care Facility
  • Dania Beach, FL
  • NPI 1114703980

  VRD 10 Hldco LLC

  CMS ownership
• Davenport Opco LLC

  • Skilled Nursing Facility
  • Davenport, FL
  • NPI 1093591869

  VRD 10 Hldco LLC

  CMS ownership
• Miami Opco LLC

  • Skilled Nursing Facility
  • Miami, FL
  • NPI 1346026119

  VRD 10 Hldco LLC

  CMS ownership
• Port St Joe Opco LLC

  • Skilled Nursing Facility
  • Port St Joe, FL
  • NPI 1427834290

  VRD 10 Hldco LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Daniel Lee Thorngren III, M.D.

  • Internal Medicine Physician
  • Safety Harbor, FL
  • NPI 1033537105

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1366228132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SHADY LANE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012351",
            "telephone_number": "732-364-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 18TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348657",
            "telephone_number": "718-916-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "18TH ST SARASOTA, OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "718-916-1443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.