Tierra Pines Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF15580961 Issued in FL

Legal business name

TIERRA PINES CENTER, LLC

Doing business as

Tierra Pines Center

Practice address

7380 Ulmerton Rd
Largo, FL 33771-4512

Phone

(727) 535-9833

Fax

(727) 536-4525

NPI assigned

Oct 13, 2005

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Alise Ziolkowski, MBA

Title

VP Finance

Phone

(813) 558-6629

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Tierra Pines Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487642427. Details of each certification follow.

• CCN 105398 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105398

Legal name

TIERRA PINES CENTER, LLC

Doing business as

TIERRA PINES CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 2, 1981

Last certification

Jan 30, 2025

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Aston Health

Organization structure

LLCProprietary

Enrollment address

7380 Ulmerton Rd
Largo, FL 33771-4512

Nursing home name

TIERRA PINES CENTER

Affiliated entity

ASTON HEALTH

Listed as

Tierra Pines CenterCCN 105398 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 2, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120113.6 residents per day on average

Chain

Aston Health38 facilities in the chain

Penalties (3 years)

1Fines totaling $4,147

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

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)

All disclosed owners & managing parties 11

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.

• Nilamben D Shah, MD

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1356306070

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Jeffrey R Levenson, M.D.

  • Infectious Disease Physician
  • St Petersburg, FL
  • NPI 1528031408

  Nursing home

  Care Compare affiliation
• Nilamben D Shah, MD

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1356306070

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1487642427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714512",
            "telephone_number": "727-535-9833",
            "fax_number": "727-536-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714512",
            "telephone_number": "727-535-9833",
            "fax_number": "727-536-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERRA PINES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ZIOLKOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ALISE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "813-558-6629",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15580961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "K85",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026056800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "71-01209",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE HH CONNECTION",
            "identifier": "71-05236",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN",
            "identifier": "C105398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tierra Pines Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert H Thurlow III, ARNP
• Haihe Tian, A.P, PH.D.
• Madisyn Tibbetts
• Petra Tibshraeny, DOM
• Tickled Pink Medical, Inc.
• Tiger Medical, Inc.
• Lenox Ashton Tillman, BCBA
• Richard F. Timmons, M.D.
• Timothy Tribiano PHD PA
• Sarah Tinsley, MD

• Skilled Nursing Facility in Largo, FL
• Providers in Largo, 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 Jun 12, 2024; 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.