Organization Active NPI

Fi-Titusville, LLC

Doing business as Titusville Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Titusville, FL
National Provider Identifier
1508860115
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1561096 Issued in FL
Legal business name
FI-TITUSVILLE, LLC
Doing business as
Titusville Rehabilitation and Nursing Center
Practice address
1705 Jess Parrish CT
Titusville, FL 32796-2158
Phone
(321) 269-5720
Fax
(321) 269-6245
NPI assigned
Jun 10, 2005
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1561096 FL Primary

Addresses

Primary practice location

1705 Jess Parrish CT
Titusville, FL 32796-2158

Mailing address

1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 801-7600

Other identifiers 1

IdentifierTypeStateIssuer
026397400MedicaidFL

Other names 1

  • TITUSVILLE REHABILITATION AND NURSING CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030514000027 FL Part A Provider - Skilled Nursing Facility 4082524616 Practice locations: Titusville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508860115. Details of each certification follow.

Skilled nursing facility certification: CCN 105448C

Legal name
FI-TITUSVILLE, LLC
Doing business as
TITUSVILLE REHAB & NURSING CENTER
Organization structure
LLCProprietary
Incorporated
Jul 1, 2003 in FL
Enrollment address
1705 Jess Parrish Court
Titusville, FL 32796-2199
Nursing home name
TITUSVILLE REHABILITATION & NURSING CENTER
Affiliated entity
FLORIDA INSTITUTE FOR LONG-TERM CARE

National Provider Directory

National Provider Directory

Networks

  • 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 Máximo (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)…
  • 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)

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.

NameRoleSinceShare
James P Mullarkey Individual Corporate OfficerBoard Member Jan 1, 2012
Howard Jaffe Individual Corporate OfficerBoard Member Jan 1, 2012
Penny Richmond Individual Corporate OfficerBoard Member Jan 1, 2012
Florida Institute for Long Term Care LLC Organization, West Palm Beach, FL LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2002 100%
Adp of the SNF Apr 15, 2025
Kathy Katz-Hall Individual Corporate OfficerBoard Member Jan 1, 2012
Consulting Support Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 28, 2011
Adp of the SNF Apr 15, 2025
Eleus Health Management LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Sep 1, 2009
Adp of the SNF Apr 15, 2025
Facility Support Company, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Dec 13, 2010
Adp of the SNF Mar 24, 2025
Omega Healthcare Investors, Inc Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2003 100%
Adp of the SNF Jul 1, 2003
Kathleen Cole Individual Operational/Managerial Control Nov 13, 2016
Adp of the SNF Nov 13, 2016
Kane Financial Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 6, 2012
Adp of the SNF Mar 24, 2025
Corey Hamil Individual Operational/Managerial Control Jul 31, 2018
Adp of the SNF Jul 31, 2018
Select Rehabilitation, LLC Organization, Glenview, IL 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.

View all 36

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": "1749600000000",
    "number": "1508860115",
    "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": "561-801-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962158",
            "telephone_number": "321-269-5720",
            "fax_number": "321-269-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FI-TITUSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "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": "SNF1561096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026397400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TITUSVILLE REHABILITATION AND NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.