NPIMap

Organization Active NPI

5901 NW 79TH Avenue Operations, LLC

Doing business as Nspire Healthcare Tamarac

  • Skilled Nursing Facility
  • Tamarac, FL
National Provider Identifier
1366936197
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
5901 NW 79TH AVENUE OPERATIONS, LLC
Doing business as
Nspire Healthcare Tamarac
Practice address
5901 NW 79TH Ave
Tamarac, FL 33321
Phone
(407) 571-1550
NPI assigned
Jun 15, 2018
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Miriam C. Pastor
Title
Manager
Phone
(813) 769-6280

Specialties & licenses 1

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

Addresses

Primary practice location

5901 NW 79TH Ave
Tamarac, FL 33321

Mailing address

5901 NW 79TH Ave
Tamarac, FL 33321-4639
Phone (954) 722-7001

Other identifiers 1

IdentifierTypeStateIssuer
100298200MedicaidFL

Other names 1

  • Nspire Healthcare Tamarac Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180920000101 FL Part A Provider - Skilled Nursing Facility 1658622311 Practice locations: Tamarac, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366936197. Details of each certification follow.

Skilled nursing facility certification: CCN 105609

Legal name
5901 NW 79TH AVENUE OPERATIONS, LLC
Doing business as
NSPIRE HEALTHCARE TAMARAC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 7, 1988
Last certification
Jun 12, 2024
Beds
151 (141 certified)
Ownership / control type
Corporation
Organization structure
LLC
Incorporated
May 17, 2018 in FL
Enrollment address
5901 NW 79TH Ave
Tamarac, FL 33321-4639
Nursing home name
NSPIRE HEALTHCARE TAMARAC
Affiliated entity
CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nspire Healthcare TamaracCCN 105609 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 7, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
141124.1 residents per day on average
Chain
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care11 facilities in the chain

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
10D0285569Nspire Healthcare Tamarac5901 NW 79TH Ave, Tamarac, FL 33321Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
LV Investment LLC Organization, Maitland, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Sep 19, 2018 100%
NSPR Operations II, LLC Organization, Tamarac, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Sep 19, 2018 100%
Nsprmc, LLC Organization, Atlanta, GA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Sep 19, 2018
Adp of the SNF Jan 9, 2026
Bradley Lee Individual Operational/Managerial Control Dec 10, 2024
Managing Control - Governing Body Dec 10, 2024
Adp of the SNF Dec 10, 2024
FC Investors Xxi LLC Organization, Maitland, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Sep 19, 2018 100%
MLNM Master Tenant, LLC Organization, Tamarac, FL LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Sep 19, 2018 100%
NSPR Care Centers, LLC Organization, Tamarac, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Sep 19, 2018 100%
NSPR Operations I, LLC Organization, Tamarac, FL LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Sep 19, 2018 100%
Oscar a Mendez Individual Operational/Managerial Control Mar 1, 2019
Adp of the SNF Mar 1, 2019
Javier Cavero Individual Operational/Managerial Control Jun 16, 2025
Adp of the SNF Jun 16, 2025
Lavie Holdco LLC Organization, Atlanta, GA LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2021 100%

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 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1366936197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 79TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214639",
            "telephone_number": "954-722-7001",
            "fax_number": "954-720-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 79TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "407-571-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5901 NW 79TH AVENUE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "PASTOR",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-769-6280"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100298200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nspire Healthcare Tamarac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.