NPIMap

Organization Active NPI

Grand Boulevard Operating Investments LLC

  • Skilled Nursing Facility
  • Miramar Beach, FL
National Provider Identifier
1386398501
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GRAND BOULEVARD OPERATING INVESTMENTS LLC
Practice address
138 Sandestin LN
Miramar Beach, FL 32550-5815
Phone
(954) 300-3878
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Mr. Jacob Bengio
Title
Cfo
Phone
(954) 300-3878

Specialties & licenses 1

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

Addresses

Primary practice location

138 Sandestin LN
Miramar Beach, FL 32550-5815

Mailing address

2901 Stirling Rd Ste 200
Fort Lauderdale, FL 33312-6529
Phone (954) 300-3878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220711003550 FL Part A Provider - Skilled Nursing Facility 3072993773 Practice locations: Miramar Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386398501. Details of each certification follow.

Skilled nursing facility certification: CCN 105601

Legal name
GRAND BOULEVARD OPERATING INVESTMENTS LLC
Doing business as
GRAND BOULEVARD HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 24, 1988
Last certification
Feb 20, 2025
Beds
97
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Harborview Health Systems
Organization structure
LLCProprietary
Incorporated
Dec 6, 2021 in DE
Enrollment address
138 Sandestin Lane
Miramar Beach, FL 32550-5815
Nursing home name
GRAND BOULEVARD HEALTH AND REHABILITATION CENTER
Affiliated entity
BENJAMIN LANDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grand Boulevard Health and Rehabilitation CenterCCN 105601 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 24, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9781.2 residents per day on average
Chain
Benjamin Landa48 facilities in the chain

Processed by Care Compare on Aug 1, 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)…
  • 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 10

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

NameRoleSinceShare
Mayer Fischel Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 10%
Cheskel David Berkowitz Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 8.9%
Grand Boulevard Operating Holding LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 6, 2021 100%
ZBL Panhandle 7 LLC Organization, Brooklyn, NY Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2022 26.66%
Mathew K Varghese Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 10%
Operational/Managerial Control Apr 1, 2022 100%
Connie Zuraff Individual W-2 Managing Employee Apr 1, 2022 100%
Joel Zupnick Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 8.9%
Benjamin Landa Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 53.33%
Joel Leifer Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 8.9%
Flnho Capital Group LLC Organization, Mineola, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2022 53.33%

Facilities with the same owner 29

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

View all 29

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": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1386398501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 STIRLING RD STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126529",
            "telephone_number": "954-300-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SANDESTIN LN",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505815",
            "telephone_number": "954-300-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BOULEVARD OPERATING INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BENGIO",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-300-3878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.