Organization Active NPI

Kingseal LLC

  • Skilled Nursing Facility
  • Arcadia, FL
National Provider Identifier
1366873689
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KINGSEAL LLC
Doing business as
Desoto Health and rehab
Practice address
475 Nursing Home Dr
Arcadia, FL 34266-3839
Phone
(863) 494-5766
Fax
(863) 494-9470
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Mr. Louis Daniel Badenhorst
Title
Cfo
Phone
(813) 210-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X FL Primary

Addresses

Primary practice location

475 Nursing Home Dr
Arcadia, FL 34266-3839

Mailing address

475 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 494-5766

Other names 1

  • Desoto Health and rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140221001269 FL Part A Provider - Skilled Nursing Facility 3971733767 Practice locations: Arcadia, FL

Skilled nursing facility certification: CCN 106070

Legal name
KINGSEAL LLC
Doing business as
DESOTO HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 29, 2006
Last certification
Nov 9, 2023
Beds
118 (78 certified)
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Dec 31, 2013 in FL
Enrollment address
475 Nursing Home Dr
Arcadia, FL 34266-3839
Nursing home name
DESOTO HEALTH AND REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Desoto Health and RehabCCN 106070 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 29, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7862.1 residents per day on average
Penalties (3 years)
1Fines totaling $13,520

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
10D0720161Kingseal LLC475 Nursing Home Drive, Arcadia, FL 34266Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Individual Trustee of the SNF Apr 2, 2017
Adp of the SNF Jan 21, 2025
Individual Trustee of the SNF Jan 1, 2022
Adp of the SNF Jan 21, 2025
Heloise Badenhorst Individual 5% Or Greater Direct Ownership InterestCeo Dec 31, 2013 100%
W-2 Managing EmployeeCeo Dec 31, 2013 100%
Trustee of the SNF Dec 31, 2013
Adp of the SNF Jan 21, 2025

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": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1366873689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NURSING HOME DR",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663839",
            "telephone_number": "863-494-5766",
            "fax_number": "863-494-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NURSING HOME DR",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663839",
            "telephone_number": "863-494-5766",
            "fax_number": "863-494-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSEAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "BADENHORST",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-210-3238",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desoto Health and rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.