Active NPI
Jackson Rehab Operations LLC.
- Skilled Nursing Facility
- Miami, FL
National Provider Identifier
1386249167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- JACKSON REHAB OPERATIONS LLC.
- Practice address
- 1861 NW 8TH Ave
Miami, FL 33136-1115 - Phone
- (305) 347-3380
- NPI assigned
- Dec 1, 2020
- 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
- Samuel Gutman
- Title
- Authorized Signatory
- Phone
- (718) 852-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1861 NW 8TH Ave
Miami, FL 33136-1115
Mailing address
1000 Gates Ave
Brooklyn, NY 11221-6295
Phone (718) 852-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211022001324 | FL | Part A Provider - Skilled Nursing Facility | 2264820307 | Practice locations: Miami, FL |
Skilled nursing facility certification: CCN 106034
- Legal name
- JACKSON REHAB OPERATIONS, LLC
- Doing business as
- JACKSON GARDENS HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 26, 2001
- Last certification
- Sep 26, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Oct 2, 2020 in DE
- Enrollment address
- 1861 NW 8TH Ave
Miami, FL 33136-1115 - Nursing home name
- JACKSON GARDENS HEALTH AND REHABILITATION CENTER
- Affiliated entity
- ONYX HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jackson Gardens Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 26, 2001
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Onyx Health
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 |
|---|---|---|---|
| 10D0981193 | Jackson Rehab Operations LLC | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
1000 Gates Ave
Ste 5
Brooklyn, NY 11221
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Jackson Opco Holdings, LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2021 | 100% |
| Helena Gallo | Operational/Managerial Control | Jun 1, 2023 | |
| Genelly Nunez | Operational/Managerial Control | Mar 28, 2022 | |
| Adp of the SNF | Nov 20, 2025 | ||
| Rachel Schuster | Corporate Officer | Sep 1, 2021 | |
| Operational/Managerial Control | Sep 1, 2021 | ||
| Adp of the SNF | Sep 1, 2021 | ||
| Virginia Borrell | Operational/Managerial Control | Nov 1, 2021 | |
| Indirect Ownership Interest | Sep 1, 2021 | 1% | |
| Onyx Healthcare Consulting LLC | Adp of the SNF | Jan 1, 2022 | |
| Indirect Ownership Interest | Sep 1, 2021 | 1% | |
| Samuel Gutman | 5% Or Greater Indirect Ownership Interest | Aug 13, 2020 | 99% |
| Karel Diaz Reyes | Operational/Managerial Control | Mar 26, 2025 | |
| Adp of the SNF | Oct 29, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1669853537
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1606780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606780800000",
"number": "1386249167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GATES AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216295",
"telephone_number": "718-852-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 NW 8TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361115",
"telephone_number": "305-347-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON REHAB OPERATIONS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A",
"authorized_official_last_name": "GUTMAN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
"authorized_official_telephone_number": "718-852-7000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.