NPIMap

Organization Active NPI

Lake Eustis Operating Investments LLC

Doing business as Bedrock Rehabilitation and Nursing Center at Lake Eustis

  • Skilled Nursing Facility
  • Eustis, FL
National Provider Identifier
1518611508
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKE EUSTIS OPERATING INVESTMENTS LLC
Doing business as
Bedrock Rehabilitation and Nursing Center at Lake Eustis
Lake Eustis Healthcare and Rehabiliation Center
Practice address
411 W Woodward Ave
Eustis, FL 32726-4554
Phone
(352) 357-3565
NPI assigned
Feb 8, 2022
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Rhea Goodwin
Title
Coo
Phone
(267) 800-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

411 W Woodward Ave
Eustis, FL 32726-4554

Mailing address

974 Route 45 Ste 1200
Pomona, NY 10970-3568

Other names 2

  • Bedrock Rehabilitation and Nursing Center at Lake Eustis Doing business as
  • Lake Eustis Healthcare and Rehabiliation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220615002596 FL Part A Provider - Skilled Nursing Facility 3971982331 Practice locations: Eustis, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518611508. Details of each certification follow.

Skilled nursing facility certification: CCN 105001

Legal name
LAKE EUSTIS OPERATING INVESTMENTS LLC
Doing business as
LAKE EUSTIS HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 1, 1976
Last certification
May 31, 2024
Beds
90
Ownership / control type
Individual
Multi-facility organization
Excelior Care Group
Organization structure
LLCProprietary
Incorporated
Dec 9, 2021 in DE
Enrollment address
411 W. Woodward Avenue
Eustis, FL 32726-4554
Nursing home name
LAKE EUSTIS HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
EXCELSIOR CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Eustis Healthcare and Rehabilitation CenterCCN 105001 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Dec 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9087.4 residents per day on average
Chain
Excelsior Care Group33 facilities in the chain
Penalties (3 years)
2Fines totaling $17,345

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0701848Bedrock Rehabilitation and Nursing Center411 W Woodward Avenue, Eustis, FL 32726Certificate of waiverFeb 28, 2028

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 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
JZ Consulting LLC Organization, Monsey, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2021 22.5%
Leah Friedman Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 13.75%
Lake Eustis Operating Holdings LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 9, 2022 100%
Charles Zahler Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 13.75%
Rochel David Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 13.75%
Brian Powers Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 7.5%
BDCC Consutking Group LLC Organization, Linden, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Dec 9, 2022 7.5%
Aron Weber Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 7.5%
Rubiweb Florida Services Group USA LLC Organization, Ardmore, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Dec 9, 2022 15%
David Rubenstein Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021 7.5%
FDZ Consulting LLC Organization, Monsey, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2021 55%
Jacob J Zahler Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2021
Corporate Officer Dec 9, 2021 36.25%
Operational/Managerial Control Apr 1, 2022 100%

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1518611508",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W WOODWARD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264554",
            "telephone_number": "352-357-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE EUSTIS OPERATING INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "267-800-8008"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedrock Rehabilitation and Nursing Center at Lake Eustis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Eustis Healthcare and Rehabiliation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.