Plantation Nursing & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1447096 Issued in FL

Legal business name

PLANTATION NURSING & REHABILITATION CENTER, LLC

Practice address

4250 NW Fifth Street
Plantation, FL 33317-2160

Phone

(954) 587-3296

Fax

(954) 587-0664

NPI assigned

Jun 26, 2006

Last updated

Jan 27, 2015By 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

Mr. Neil Sutton

Title

Administratoe

Phone

(954) 587-3296

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487681656. Details of each certification follow.

• CCN 105175 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105175

Legal name

PLANTATION NURSING & REHABILITATION CENTER LLC

Doing business as

PLANTATION NURSING & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1974

Last certification

Mar 28, 2024

Beds

152

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

4250 NW 5TH St
Plantation, FL 33317-2160

Nursing home name

PLANTATION NURSING & REHABILITATION CENTER

Affiliated entity

MILLENNIUM HEALTH SYSTEMS

Listed as

Plantation Nursing & Rehabilitation CenterCCN 105175 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15296.3 residents per day on average

Chain

Millennium Health Systems4 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 20

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 3

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

• Gerald James Lavandosky, M.D.

  • Pediatric Critical Care Medicine Physician
  • Hollywood, FL
  • NPI 1235227208

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Kybuki K. Reid, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
  • NPI 1417724089

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Esther Vildor-Dazil, M.D.

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1154454437

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Broward Nursing & Rehabilitation Center,LLC

  • Skilled Nursing Facility
  • Fort Lauderdale, FL
  • NPI 1255357703

  2012 Lipschutz Family Trust, Barton D Weisman Trust Fbo Andrew Weisman, Barton D Weisman Trust Fbo Marcia Langley, Hba Health System LLC, Millennium Consolidated, LLC, Nonmarital Trust Under the Howard Lipschutz Revocable Trust 5/21/15

  CMS ownership
• Springtree Rehabilitation & Health Care Ctr LLC

  dba Springtree Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Sunrise, FL
  • NPI 1629004262

  2012 Lipschutz Family Trust, Barton D Weisman Trust Fbo Andrew Weisman, Barton D Weisman Trust Fbo Marcia Langley, Hba Health System LLC, Millennium Consolidated, LLC, Nonmarital Trust Under the Howard Lipschutz Revocable Trust 5/21/15

  CMS ownership
• Forkidcare LLC

  • Pediatric Skilled Nursing Facility
  • Voorhees, NJ
  • NPI 1770540171

  2012 Lipschutz Family Trust, Millennium Consolidated, LLC, Nonmarital Trust Under the Howard Lipschutz Revocable Trust 5/21/15

  CMS ownership
• Hba Management, Inc.

  dba Weisman Children's Rehabilitation Hospital

  • Children's Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1689614927

  2012 Lipschutz Family Trust, Nonmarital Trust Under the Howard Lipschutz Revocable Trust 5/21/15

  CMS ownership

Affiliated clinicians 1

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

• Monali Laxpati Gidwani, M.D.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1053348052

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1487681656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 NW FIFTH STREET",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172160",
            "telephone_number": "954-587-3296",
            "fax_number": "954-587-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 NW FIFTH STREET",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172160",
            "telephone_number": "954-587-3296",
            "fax_number": "954-587-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "ADMINISTRATOE",
        "authorized_official_telephone_number": "954-587-3296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1447096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEALTH OPTIONS",
            "identifier": "LO4",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022601700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plantation General Hospital L P (Plantation General Hospital)
• Plantation Health and Wellness, LLC
• Plantation Medical and Surgical PA
• Plantation Medical Clinic
• Plantation Medical Clinic PA
• Plantation Open MRI LLC (Pom MRI & Imaging Center of Plantation)
• Plantation Oral Surgery, PLLC
• Plantation Ortho, LLC
• Plantation Palms Dental P.a. (Palms Dental)
• Plantation Park Dental Associates, P.a.

• Skilled Nursing Facility in Plantation, FL
• Providers in Plantation, 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 Jan 27, 2015; 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.