Kissimmee Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KISSIMMEE OPCO LLC

Doing business as

The Terrace of Kissimmee

Practice address

221 Park Place Blvd
Kissimmee, FL 34741-2345

Phone

(407) 935-0200

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Cameron Marsh

Title

Corporate Finance

Phone

(386) 255-1054

Specialties & licenses 1

Addresses

Other names 1

• The Terrace of Kissimmee Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105839

Legal name

KISSIMMEE OPCO LLC

Doing business as

THE TERRACE OF KISSIMMEE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 13, 1994

Last certification

Apr 17, 2025

Beds

120

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Dec 1, 2013

Organization structure

LLCProprietary

Incorporated

Aug 2, 2017 in FL

Enrollment address

221 Park Place Blvd
Kissimmee, FL 34741-2345

Nursing home name

TERRACE OF KISSIMMEE, THE

Listed as

Terrace of Kissimmee, theCCN 105839 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 13, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120115.5 residents per day on average

Penalties (3 years)

1Fines totaling $38,724

Processed by Care Compare on Aug 1, 2026.

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 7

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.

• Noman Subhani, MD

  • Hospitalist Physician
  • Kissimmee, FL
  • NPI 1427060243

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Affiliated clinicians 4

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

• Deep K Bharaj, MD

  • Family Medicine Physician
  • Longwood, FL
  • NPI 1730448911

  Nursing home

  Care Compare affiliation
• Mayra Noemi Munoz Delgado, M.D.

  • Family Medicine Physician
  • Leesburg, FL
  • NPI 1275677130

  Nursing home

  Care Compare affiliation
• Noman Subhani, MD

  • Hospitalist Physician
  • Kissimmee, FL
  • NPI 1427060243

  Nursing home

  Care Compare affiliation
• Gian Emmanuel Gonzalez Quiles, M.D.

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1689108086

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1548788433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FENTRESS BLVD STE H",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PARK PLACE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412345",
            "telephone_number": "407-935-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CORPORATE FINANCE",
        "authorized_official_telephone_number": "386-255-1054"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terrace of Kissimmee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Kissimmee, FL
• Providers in Kissimmee, 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 31, 2017; 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.