Lexington Healthcare and Rehabilitation Center LLC
Organization Active NPI Skilled Nursing Facility · Kenneth City, FL
NPI 1508516915 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1508516915
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LEXINGTON HEALTHCARE AND REHABILITATION CENTER LLC
- Practice address
- 6300 46TH Ave N
Kenneth City, FL 33709-3104 - Phone
- (727) 544-1444
- NPI assigned
- Mar 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Moshe Scheiner
- Title
- Authorized Member
- Phone
- (845) 490-6060
Facilities with the same owner 34
Affiliated clinicians 6
-
Bhanuprasad Patel, M.D.
-
Fadi Saba, M.D.
-
Nilamben D Shah, MD
-
Craig Spergel, DO
-
Sreelatha Tirupathi, M.D.
-
Luis F Ycaza, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Lexington Healthcare and Rehabilitation Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1982
- Medicare certification status
- Active
- Certified beds
- 159 · 141.4 residents per day on average
- Chain
- Gold FL Trust II
- Penalties (3 years)
- 1 · fines totaling $17,345
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0292037 | Lexington Healthcare and Rehabilitation | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Skilled nursing facility certification: CCN 105072
- Legal name
- LEXINGTON HEALTHCARE AND REHABILITATION CENTER LLC
- Doing business as
- LEXINGTON HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 1, 1982
- Last certification
- Mar 22, 2023
- Beds
- 159
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 23, 2022 in DE
- Enrollment address
- 6300 46TH Ave N
St Petersburg, FL 33709-3104 - Nursing home name
- LEXINGTON HEALTHCARE AND REHABILITATION CENTER
- Affiliated entity
- GOLD FL TRUST II
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Katrina L Davis |
W-2 Managing Employee |
Jul 27, 2022 | 100% |
| Silver FL Trust II |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 45% |
| Copper FL Trust II |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 10% |
| Jack Y Shelby |
Corporate Officer | Jul 27, 2022 | 100% |
| FL Master Opco Holdco LLC |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 100% |
| Gold FL Trust II |
5% Or Greater Indirect Ownership Interest | Jul 27, 2022 | 45% |
| Lexington SNF Holdco LLC |
5% Or Greater Direct Ownership Interest | Mar 23, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221201001637 | FL | Part a Provider - Skilled Nursing Facility | 2466820097 | Practice locations: St Petersburg, FL |
National Provider Directory
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
6300 46TH Ave N
Kenneth City, FL 33709-3104
Mailing address
6300 46TH Ave N
Kenneth City, FL 33709-3104
Other providers in Kenneth City, FL
- Amber Knight
- Jennifer Marie Krouse
- Kristy Ann Lake
- Mary Lee
- Let'S Talk Speech and Language Therapy, Inc.
- Lexington Terrace Alf, LLC
- LK Therapeutic Services LLC
- Lisa Anne Lucius
- Jonathan Byron May
- McAre Health LLC
All providers in Kenneth City, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.