Active NPI
Fi-Evergreen Woods, LLC
Doing business as Evergreen Woods
- Skilled Nursing Facility
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1146096
- Legal business name
- FI-EVERGREEN WOODS, LLC
- Doing business as
- Evergreen Woods
- Practice address
- 7045 Evergreen Woods TRL
Spring Hill, FL 34608-1306 - Phone
- (352) 596-8371
- Fax
- (352) 596-8032
- NPI assigned
- Jun 10, 2005
- Last updated
- May 4, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1146096 | FL | Primary |
Addresses
Primary practice location
7045 Evergreen Woods TRL
Spring Hill, FL 34608-1306
Mailing address
1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 223-4300
Other names 1
- Evergreen Woods
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100322000045 | FL | Part A Provider - Skilled Nursing Facility | 0840100475 | Practice locations: Spring Hill, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487658043. Details of each certification follow.
Skilled nursing facility certification: CCN 105397B
- Legal name
- FI-EVERGREEN WOODS, LLC
- Doing business as
- EVERGREEN WOODS
- Organization structure
- LLC
- Incorporated
- Dec 23, 2002 in FL
- Enrollment address
- 7045 Evergreen Woods Trail
Spring Hill, FL 34608-1306 - Nursing home name
- EVERGREEN WOODS
- Affiliated entity
- FLORIDA INSTITUTE FOR LONG-TERM CARE
National Provider Directory
National Provider DirectoryLocations
7045 Evergreen Woods Trl
Spring Hill, FL 34608
Phone (352) 596-8371
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rebecca Hennigan | Operational/Managerial Control | Aug 23, 2022 | |
| Adp of the SNF | Aug 23, 2022 | ||
| Aegir Health Management LLC | Operational/Managerial Control | Sep 1, 2009 | |
| Adp of the SNF | Apr 3, 2025 | ||
| James P Mullarkey | Corporate Officer | Jul 1, 2003 | |
| Omega Health Investors, Inc | Adp of the SNF | Jul 1, 2003 | |
| Howard Jaffe | Corporate Officer | Jul 1, 2003 | |
| Penny Richmond | Corporate Officer | Jul 1, 2003 | |
| Florida Institute for Long Term Care LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2002 | 100% |
| Adp of the SNF | Apr 3, 2025 | ||
| Ronald Swonger | Operational/Managerial Control | Jul 1, 2014 | |
| Adp of the SNF | Jul 1, 2014 | ||
| Kathy Katz-Hall | Corporate Officer | Jul 1, 2003 | |
| Consulting Support Services, LLC | Operational/Managerial Control | Jun 28, 2011 | |
| Adp of the SNF | Apr 3, 2025 | ||
| Facility Support Company, LLC | Operational/Managerial Control | Dec 13, 2010 | |
| Adp of the SNF | Mar 20, 2025 | ||
| Kane Financial Services, LLC | Operational/Managerial Control | Jun 6, 2012 | |
| Adp of the SNF | Mar 20, 2025 | ||
| Select Rehabilitation, LLC | Adp of the SNF | Aug 19, 2016 |
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 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
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- Skilled Nursing Facility
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- Skilled Nursing Facility
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-
dba Deerfield Beach Health and Rehabilitation Center
- Skilled Nursing Facility
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- Skilled Nursing Facility
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-
dba Carrollwood Care Center
- Skilled Nursing Facility
- Tampa, FL
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dba Casa Mora Rehabilitation and Extended Care
- Skilled Nursing Facility
- Bradenton, FL
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-
dba Highland Pines Rehabilitation Center
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1366446924
Consulting Support Services, LLC, Facility Support Company, LLC, Florida Institute for Long Term Care LLC, Kane Financial Services, LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1487658043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 PALM BEACH LAKES BLVD STE 400",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012108",
"telephone_number": "561-223-4300",
"fax_number": "561-933-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7045 EVERGREEN WOODS TRL",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346081306",
"telephone_number": "352-596-8371",
"fax_number": "352-596-8032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FI-EVERGREEN WOODS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"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": "SNF1146096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Evergreen Woods",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.