Organization Active NPI

Fi-Evergreen Woods, LLC

  • Skilled Nursing Facility
  • Spring Hill, FL
National Provider Identifier
1487658043
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1146096 Issued in FL
Legal business name
FI-EVERGREEN WOODS, LLC
Practice address
7045 Evergreen Woods TRL
Spring Hill, FL 34608-1306
Phone
(352) 596-8371
Fax
(352) 596-8032
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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)CodeLicenseStatePrimary
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 identifiers 1

IdentifierTypeStateIssuer
026389300MedicaidFL

Other names 1

  • Evergreen Woods Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100322000045 FL Part A Provider - Skilled Nursing Facility 0840100475 Practice locations: Spring Hill, FL

Skilled nursing facility certification: CCN 105397B

Legal name
FI-EVERGREEN WOODS, LLC
Doing business as
EVERGREEN WOODS
Organization structure
LLCNon-profit
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 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 13

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

NameRoleSinceShare
Rebecca Hennigan Individual Operational/Managerial Control Aug 23, 2022
Adp of the SNF Aug 23, 2022
Aegir Health Management LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Sep 1, 2009
Adp of the SNF Apr 3, 2025
James P Mullarkey Individual Corporate OfficerBoard Member Jul 1, 2003
Omega Health Investors, Inc Organization, Hunt Valley, MD LLC Adp of the SNF Jul 1, 2003
Howard Jaffe Individual Corporate OfficerOfficer Jul 1, 2003
Penny Richmond Individual Corporate OfficerBoard Member Jul 1, 2003
Florida Institute for Long Term Care LLC Organization, West Palm Beach, FL LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2002 100%
Adp of the SNF Apr 3, 2025
Ronald Swonger Individual Operational/Managerial Control Jul 1, 2014
Adp of the SNF Jul 1, 2014
Kathy Katz-Hall Individual Corporate OfficerBoard Member Jul 1, 2003
Consulting Support Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 28, 2011
Adp of the SNF Apr 3, 2025
Facility Support Company, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Dec 13, 2010
Adp of the SNF Mar 20, 2025
Kane Financial Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 6, 2012
Adp of the SNF Mar 20, 2025
Select Rehabilitation, LLC Organization, Glenview, IL 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.

View all 36

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026389300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.