Organization Active NPI

PH Ops of Arlington LLC

Doing business as Pure Health Transitional Care at THR Arlington

  • Skilled Nursing Facility
  • Arlington, TX
National Provider Identifier
1548907314
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PH OPS OF ARLINGTON LLC
Doing business as
Pure Health Transitional Care at THR Arlington
Practice address
800 W Randol Mill Rd FL 6
Arlington, TX 76012-2504
Phone
(682) 276-8700
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Ms. Siobaughn Fraser
Title
Director of Finance
Phone
(561) 801-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

800 W Randol Mill Rd FL 6
Arlington, TX 76012-2504

Mailing address

2000 Pga Blvd Ste 3230
Palm Beach Gardens, FL 33408-2718
Phone (561) 801-4235

Other names 1

  • Pure Health Transitional Care at THR Arlington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826001552 CO Part A Provider - Skilled Nursing Facility 5698159549 Practice locations: Arlington, TX

Skilled nursing facility certification: CCN 676407

Legal name
PH OPS OF ARLINGTON LLC
Doing business as
PURE HEALTH TRANSITIONAL CARE AT THR ARLINGTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 18, 2016
Last certification
May 15, 2025
Beds
54
Ownership / control type
Limited Liability Corporation
Multi-facility organization
MCOA
Most recent change of ownership
Jul 1, 2022
Organization structure
LLCProprietary
Incorporated
Jul 28, 2021 in DE
Enrollment address
800 W Randol Mill Rd
FL 6
Arlington, TX 76012-2504
Nursing home name
PUREHEALTH TRANSITIONAL CARE AT THR ARLINGTON
Affiliated entity
PUREHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Purehealth Transitional Care at THR ArlingtonCCN 676407 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 18, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5435.2 residents per day on average
Chain
Purehealth8 facilities in the chain
Penalties (3 years)
2Fines totaling $118,148

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
45D2111312Pure Health Transitional Care at800 W Randol Mill Rd 6TH Floor, Arlington, TX 76012Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Organization, Louisville, KY Medical provider/supplier Adp of the SNF May 6, 2025
Eli Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Harish Muniswamy Individual Operational/Managerial Control Aug 18, 2023
Adp of the SNF Aug 18, 2023
Helene Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Siobaughn Fraser Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Talia Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Individual Indirect Ownership Interest May 25, 2022 4.88%
Yaffa Gottesman Individual Indirect Ownership Interest May 25, 2022 4.88%
Kevin Bell Individual 5% Or Greater Indirect Ownership InterestCoo Jul 1, 2022 11%
Corporate OfficerCoo Jul 1, 2022 11%
Operational/Managerial Control Jul 1, 2022
Zipora Gottesman Individual Indirect Ownership Interest May 25, 2022 4.87%
PH Ops of Arlington LLC Organization, Palm Beach Gardens, FL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Kccj1 Holdings LLC Organization, North Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 11%
Organization, Palm Beach Gardens, FL LLC Adp of the SNF Apr 14, 2025
Lbei Holdings LLC Organization, Palm Beach Gardens, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 50%
Jeanette Dixon Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Bgaf Holdings LLC Organization, Suffern, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 25, 2022 39%
Robert Campion Individual 5% Or Greater Indirect Ownership InterestCeo Jul 1, 2022 50%
Corporate OfficerCeo Jul 1, 2022 50%
Operational/Managerial Control Jul 1, 2022
Dwight Mortgage Trust LLC Organization, New York, NY LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2022
Texas Health Arlington Memorial Hospital Organization, Arlington, TX Non-profit Adp of the SNF Jan 23, 2001
TX Act Op Holdings LLC Organization, Palm Beach Gardens, FL LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 19, 2022 100%
Soroush Behnam Individual Operational/Managerial Control Mar 1, 2016
Adp of the SNF Mar 1, 2016
Ava Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
Sara Waddell Individual Operational/Managerial Control Oct 13, 2021
Adp of the SNF Oct 13, 2021
Organization, Bernalillo, NM LLC Adp of the SNF Apr 14, 2025
Boruch Gottesman Individual Direct Ownership Interest May 25, 2022
Indirect Ownership Interest May 25, 2022 4.88%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1548907314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PGA BLVD STE 3230",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334082718",
            "telephone_number": "561-801-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD FL 6",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "682-276-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH OPS OF ARLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "SIOBAUGHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "561-801-4235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Transitional Care at THR Arlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.