NPIMap

Organization Active NPI

Victoria Nursing & Rehabilitation Center, Inc

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1447249149
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130471016 Issued in FL
Legal business name
VICTORIA NURSING & REHABILITATION CENTER, INC
Practice address
955 NW 3Rd St
Miami, FL 33128-1274
Phone
(305) 548-4020
Fax
(305) 777-2000
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Richard Stacey
Title
Vice President
Phone
(305) 548-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF130471016 FL Primary

Addresses

Primary practice location

955 NW 3Rd St
Miami, FL 33128-1274

Mailing address

955 NW 3Rd St
Miami, FL 33128-1274
Phone (305) 548-4020

Other identifiers 1

IdentifierTypeStateIssuer
022517700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000056 FL Part A Provider - Skilled Nursing Facility 2961660139 Practice locations: Miami, FL

Skilled nursing facility certification: CCN 106031

Legal name
VICTORIA NURSING & REHABILITATION CENTER, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 13, 2000
Last certification
Dec 12, 2024
Beds
314 (264 certified)
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 15, 1997 in FL
Enrollment address
955 NW 3Rd Street
Miami, FL 33128-1274
Nursing home name
VICTORIA NURSING & REHABILITATION CENTER, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Victoria Nursing & Rehabilitation Center, Inc.CCN 106031
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 13, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
264303.7 residents per day on average

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
10D0977467Victoria Nursing & Rehabilitation955 NW 3Rd Street, Miami, FL 33128Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory

Networks

  • 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)
  • 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 Maximo (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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ocean Bank Organization, Miami, FL Financial institution 5% Or Greater Mortgage Interest Aug 4, 2014
Jose Pereira Individual Operational/Managerial Control Mar 1, 2022
Sheila Carlos Individual Operational/Managerial Control Sep 29, 2023
Victoria Towers Inc Organization, Miami, FL Corporation Adp of the SNF Aug 23, 2011
Health Resort Management LLC Organization, Miami, FL LLC, For-profit, Chain home office Adp of the SNF Oct 31, 2025
Individual Adp of the SNF Feb 6, 2025
Individual Adp of the SNF Feb 6, 2025
Richard Stacey Sr Individual 5% Or Greater Direct Ownership Interest Aug 22, 2011 100%
Corporate OfficerPresident Aug 22, 2011 100%
Operational/Managerial Control Aug 22, 2011
Francisco Alvarado Individual Operational/Managerial Control Aug 1, 2011
Angela Succop Individual Adp of the SNF Aug 1, 2011
Frank Lopresti Individual Adp of the SNF Aug 1, 2011
Forvis Mazars LLP Organization, Springfield, MO Consulting firm, For-profit Operational/Managerial Control Nov 1, 2024
Adp of the SNF Aug 5, 2025
Jennifer Enriquez Individual Operational/Managerial Control Mar 1, 2022
Julio Arauz Individual Operational/Managerial Control Sep 29, 2023

Facilities with the same owner 87

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

View all 87

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1447249149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281274",
            "telephone_number": "305-548-4020",
            "fax_number": "305-548-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281274",
            "telephone_number": "305-548-4020",
            "fax_number": "305-777-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA NURSING & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-548-4020"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130471016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022517700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.