BG SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BG SNF OPCO LLC

Practice address

900 Lpga Blvd
Holly Hill, FL 32117-3113

Phone

(386) 226-9000

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Roth

Title

Cfo

Phone

(847) 275-2940

Specialties & licenses 1

Addresses

Other names 1

• The Terrace at Bishop's Glen Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105526

Legal name

BG SNF OPCO LLC

Doing business as

THE TERRACE AT BISHOP'S GLEN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 25, 1986

Last certification

Jun 11, 2025

Beds

60

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Sep 30, 2022

Organization structure

LLCProprietary

Enrollment address

900 Lpga Blvd
Holly Hill, FL 32117-3113

Nursing home name

TERRACE AT BISHOP'S GLEN, THE

Affiliated entity

SERENITY ESTATES

Listed as

Terrace at Bishop'S Glen, theCCN 105526

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 25, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6052.8 residents per day on average

Chain

Serenity Estates5 facilities in the chain

Penalties (3 years)

1Fines totaling $8,512

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

• 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)…

All disclosed owners & managing parties 9

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.

• Mohammed R Munim, DO

  • Internal Medicine Physician
  • Ocoee, FL
  • NPI 1528435070

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed R Munim, DO

  • Internal Medicine Physician
  • Ocoee, FL
  • NPI 1528435070
  NPD (past)

Affiliated clinicians 1

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

• Mohammed R Munim, DO

  • Internal Medicine Physician
  • Ocoee, FL
  • NPI 1528435070

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1497473763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST # 11",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LPGA BLVD",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173113",
            "telephone_number": "386-226-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-275-2940"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terrace at Bishop's Glen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Barnes, PHARMD
• Beacon of Life Florida LLC
• Shirley Beard, COTA
• Tashena Beckford-NG
• Karen Michelle Berkeley, LCSW
• Mary Flynn Boener, LCSW
• Richard Lee Braithwaite, M.D.
• Georgia Mae Brazzell
• Jared Brooks, PHARMD
• Sharon Ann Calcutt

• Skilled Nursing Facility in Holly Hill, FL
• Providers in Holly Hill, 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 Aug 3, 2023; 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.