NPIMap

Organization Active NPI

Wedgewood Operating LLC

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1487437448
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEDGEWOOD OPERATING LLC
Practice address
1010 Carpenters Way
Lakeland, FL 33809-3926
Phone
(863) 815-0488
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Authorized official

Name
Jacob Zahler
Title
Member
Phone
(854) 230-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1010 Carpenters Way
Lakeland, FL 33809-3926

Mailing address

974 Route 45 Ste 1200
Pomona, NY 10970-3568
Phone (845) 230-2004

Other names 1

  • WEDGEWOOD HEALTHCARE AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105001059 FL Part A Provider - Skilled Nursing Facility 4587015367 Practice locations: Lakeland, FL

Skilled nursing facility certification: CCN 106002

Legal name
WEDGEWOOD OPERATING LLC
Doing business as
WEDGEWOOD HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 26, 1999
Last certification
Dec 19, 2024
Beds
120
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Mar 13, 2023 in DE
Enrollment address
1010 Carpenters Way
Lakeland, FL 33809-3926
Nursing home name
WEDGEWOOD HEALTHCARE AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wedgewood Healthcare and Rehabilitation CenterCCN 106002
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 26, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.8 residents per day on average

Processed by Care Compare on Aug 1, 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)…

Ownership & related parties

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.

NameRoleSinceShare
Leah Friedman Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Alejandra Padron-Morales Individual Operational/Managerial Control Nov 17, 2022
Adp of the SNF Nov 17, 2022
Wedgewood Holdco LLC Organization, Monsey, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 5, 2023 100%
Charles Zahler Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
David a Butler Individual Operational/Managerial Control Oct 23, 1969
Adp of the SNF Feb 10, 2025
Yocheved Miller Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Rochel David Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
FDZ Consulting LLC Organization, Monsey, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 92%
Jacob J Zahler Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Corporate OfficerCeo Sep 5, 2023 100%
Operational/Managerial Control Sep 5, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763856000000",
    "number": "1487437448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45 STE 1200",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703568",
            "telephone_number": "845-230-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093926",
            "telephone_number": "863-815-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "ZAHLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "854-230-2004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEDGEWOOD HEALTHCARE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.