Active NPI
Fi-Evergreen Woods, LLC
- 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
- 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
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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026389300 | Medicaid | FL |
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 |
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 DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health 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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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
- 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.