NPIMap

Organization Active NPI

Ybor City SNF Operations LLC

  • Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1427694702
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
YBOR CITY SNF OPERATIONS LLC
Practice address
1709 N Taliaferro Ave
Tampa, FL 33602-2543
Phone
(813) 223-4623
Fax
(813) 223-3718
NPI assigned
Nov 21, 2019
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mr. Solomon Klein
Title
Manager
Phone
(347) 909-1811

Specialties & licenses 1

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

Addresses

Primary practice location

1709 N Taliaferro Ave
Tampa, FL 33602-2543

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200114000124 FL Part A Provider - Skilled Nursing Facility 4183059512 Practice locations: Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427694702. Details of each certification follow.

Skilled nursing facility certification: CCN 105891

Legal name
YBOR CITY SNF OPERATIONS LLC
Doing business as
YBOR CITY CENTER FOR REHABILITATION AND HEALING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 28, 1995
Last certification
Mar 28, 2024
Beds
80
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 23, 2019 in FL
Enrollment address
1709 Taliaferro Ave
Tampa, FL 33602-2543
Nursing home name
YBOR CITY CENTER FOR REHABILITATION AND HEALING
Affiliated entity
SUMMIT CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ybor City Center for Rehabilitation and HealingCCN 105891 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 28, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8062.4 residents per day on average
Chain
Summit Care22 facilities in the chain
Penalties (3 years)
1Fines totaling $43,050

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
10D0879787Ybor City SNF Operations LLC1709 N Taliaferro Ave, Tampa, FL 33602Certificate of waiverDec 1, 2027

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 7

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

NameRoleSinceShare
Solomon Klein Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 25%
Operational/Managerial Control Feb 1, 2020 100%
Summit Care II Inc Organization, Tallahassee, FL Corporation Operational/Managerial Control Feb 1, 2020 100%
Ezriel Drebin Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 8%
Ybor City SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
Shaul Kopelowitz Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 10%
Yisroel E Herzka Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 41.25%
Aaron Mayer Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 10%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1427694702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930",
            "telephone_number": "850-386-2831",
            "fax_number": "850-386-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 N TALIAFERRO AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022543",
            "telephone_number": "813-223-4623",
            "fax_number": "813-223-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YBOR CITY SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-909-1811",
        "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 Tampa, FL

Sources for this page

Verify at the official NPI Registry.