Ltcsp Plant City, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1099096 Issued in FL

Legal business name

LTCSP PLANT CITY, LLC

Doing business as

Community Convalescent Center

Practice address

2202 W Oak Ave
Plant City, FL 33563-7222

Phone

(813) 754-3761

Fax

(813) 754-5301

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Howard Jaffe

Title

President

Phone

(215) 346-6454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Convalescent Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105029

Legal name

LTCSP PLANT CITY, LLC

Doing business as

COMMUNITY CONVALESCENT CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Jul 19, 2023

Beds

120

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Elevis Healthcare Services

Organization structure

LLCNon-profit

Incorporated

Apr 7, 2004 in FL

Enrollment address

2202W Oak Ave
Plant City, FL 33563-7222

Nursing home name

COMMUNITY CONVALESCENT CENTER

Affiliated entity

SENIOR HEALTH SOUTH

Listed as

Community Convalescent CenterCCN 105029 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120106.2 residents per day on average

Chain

Senior Health South8 facilities in the chain

Penalties (3 years)

1Fines totaling $111,183

Processed by Care Compare on Aug 1, 2026.

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)…

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Adp of the SNF

  CMS ownership

Facilities with the same owner 36

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

• Bartow Rehabilitation Center, LLC

  dba Bartow Center

  • Skilled Nursing Facility
  • Bartow, FL
  • NPI 1215938444

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Boca Ciega Rehabilitation Center, LLC

  dba Boca Ciega Center

  • Skilled Nursing Facility
  • Gulfport, FL
  • NPI 1720082688

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Clearwater Rehabilitation Center, LLC

  dba Clearwater Center

  • Skilled Nursing Facility
  • Clearwater, FL
  • NPI 1790789675

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Egret Cove Rehabilitation Center, LLC

  dba Egret Cove Center

  • Skilled Nursing Facility
  • St Petersburg, FL
  • NPI 1851395677

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Emerald Coast Rehabilitation Center, LLC

  dba Emerald Coast Center

  • Skilled Nursing Facility
  • Fort Walton Beach, FL
  • NPI 1891799623

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Bay Pointe, LLC

  dba Bay Pointe Nursing Pavilion

  • Skilled Nursing Facility
  • St Petersburg, FL
  • NPI 1346244084

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Boca Raton, LLC

  dba Boca Raton Rehabilitation Center

  • Skilled Nursing Facility
  • Boca Raton, FL
  • NPI 1033113774

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Broward Nursing, LLC

  dba Deerfield Beach Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Pompano Beach, FL
  • NPI 1285638924

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Cape Coral, LLC

  dba Rehab & Healthcare Center of Cape Coral

  • Skilled Nursing Facility
  • Cape Coral, FL
  • NPI 1528062270

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Carrollwood Care, LLC

  dba Carrollwood Care Center

  • Skilled Nursing Facility
  • Tampa, FL
  • NPI 1447254107

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Casa Mora, LLC

  dba Casa Mora Rehabilitation and Extended Care

  • Skilled Nursing Facility
  • Bradenton, FL
  • NPI 1942204607

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership
• Fi-Evergreen Woods, LLC

  dba Evergreen Woods

  • Skilled Nursing Facility
  • Spring Hill, FL
  • NPI 1487658043

  Consulting Support Services, LLC, Facility Support Company, LLC, Kane Financial Services, LLC

  CMS ownership

Affiliated clinicians 1

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

• Robert N. Baskin, M.D.

  • Family Medicine Physician
  • Plant City, FL
  • NPI 1841252061

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387584000000",
    "number": "1447255534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 900",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-801-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 W OAK AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637222",
            "telephone_number": "813-754-3761",
            "fax_number": "813-754-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTCSP PLANT CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-12-21",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1099096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028191300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lockwood & Steely, MD's, PA
• Richard William Lockwood
• London's Grace Home Care LLC
• Mae Lynne Mora Lontoc
• Kasey Lower
• Eileen Zoe Lugo, PHARMD
• Teena Lukose, PA-C
• Barrington T Lynch, MD
• Jeffrey Ma, PHARM. D
• Francisco J. Machado, M.D.

• Skilled Nursing Facility in Plant City, FL
• Providers in Plant City, 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 Dec 21, 2013; 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.