Active NPI
Island Operating LLC
Doing business as Space Coast Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Merritt Island, FL
National Provider Identifier
1508649575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ISLAND OPERATING LLC
- Doing business as
- Space Coast Healthcare and Rehabilitation Center
- Practice address
- 125 Alma Blvd
Merritt Island, FL 32953-4345 - Phone
- (321) 453-0202
- NPI assigned
- Aug 15, 2023
- 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
- Jacob Zahler
- Title
- Member
- Phone
- (845) 320-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
125 Alma Blvd
Merritt Island, FL 32953-4345
Mailing address
974 Route 45 Ste 1200
Pomona, NY 10970-3568
Phone (845) 320-2004
Other names 1
- SPACE COAST HEALTHCARE AND REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240222003161 | FL | Part A Provider - Skilled Nursing Facility | 2365886884 | Practice locations: Merritt Island, FL |
Skilled nursing facility certification: CCN 105325
- Legal name
- ISLAND OPERATING LLC
- Doing business as
- SPACE COAST HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 1, 1978
- Last certification
- Jan 17, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Excelsior Health Care
- Organization structure
- LLC
- Incorporated
- Mar 14, 2023 in DE
- Enrollment address
- 125 Alma Blvd
Merritt Island, FL 32953-4345 - Nursing home name
- SPACE COAST HEALTHCARE AND REHABILITATION CENTER
- Affiliated entity
- EXCELSIOR CARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Space Coast Healthcare and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1978
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Excelsior Care Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Leah Friedman | 5% Or Greater Indirect Ownership Interest | Sep 5, 2023 | 23% |
| Charles Zahler | 5% Or Greater Indirect Ownership Interest | Sep 5, 2023 | 23% |
| Yocheved Miller | 5% Or Greater Indirect Ownership Interest | Sep 5, 2023 | 23% |
| Island Holdco LLC | 5% Or Greater Direct Ownership Interest | Sep 5, 2023 | 100% |
| Rochel David | 5% Or Greater Indirect Ownership Interest | Sep 5, 2023 | 23% |
| Jacob J Zahler | 5% Or Greater Indirect Ownership Interest | Sep 5, 2023 | |
| Corporate Officer | Sep 5, 2023 | 100% | |
| Operational/Managerial Control | Sep 5, 2023 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Winter Park, FL
- NPI 1841502333
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1508649575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 ROUTE 45 STE 1200",
"city": "POMONA",
"state": "NY",
"postal_code": "109703568",
"telephone_number": "845-320-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ALMA BLVD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534345",
"telephone_number": "321-453-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND OPERATING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-15",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "ZAHLER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "845-320-2004"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPACE COAST HEALTHCARE AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.