5405 Babcock St NE Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

5405 BABCOCK ST NE OPCO LLC

Doing business as

Aviata at Palm Bay

Practice address

5405 Babcock St NE
Palm Bay, FL 32905-5020

Phone

(321) 722-0660

Fax

(321) 722-2669

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Nathan Freund

Title

Manager

Phone

(732) 730-7480

Specialties & licenses 1

Addresses

Other names 1

• Aviata at Palm Bay Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105985

Legal name

5405 BABCOCK ST NE OPCO LLC

Doing business as

AVIATA AT PALM BAY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 12, 1998

Last certification

Jun 13, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Aviata Health Group

Organization structure

LLCProprietary

Enrollment address

5405 Babcock St NE
Palm Bay, FL 32905-5020

Nursing home name

AVIATA AT PALM BAY

Affiliated entity

AVIATA HEALTH GROUP

Listed as

Aviata at Palm BayCCN 105985 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 12, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120116.1 residents per day on average

Chain

Aviata Health Group50 facilities in the chain

Penalties (3 years)

5Fines totaling $21,693

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

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.

• Tony Faris

  • Hospitalist Physician
  • Melbourne, FL
  • NPI 1720461932

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Tony Faris

  • Hospitalist Physician
  • Melbourne, FL
  • NPI 1720461932

  Nursing home

  Care Compare affiliation
• Tanmay Amrutlal Patel, M.D

  • Internal Medicine Physician
  • Titusville, FL
  • NPI 1649613217

  Nursing home

  Care Compare affiliation
• Zafar Iqbal Sharar, M.D.

  • Internal Medicine Physician
  • Palm Bay, FL
  • NPI 1144376898

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1386416600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055020",
            "telephone_number": "321-722-0660",
            "fax_number": "321-722-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055020",
            "telephone_number": "321-722-0660",
            "fax_number": "321-722-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5405 BABCOCK ST NE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-730-7480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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",
            "affiliationName": "Consulate Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aviata at Palm Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Apr 9, 2025; 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.