Organization Active NPI

Highlands Blvd Opco LLC

  • Skilled Nursing Facility
  • Palm Harbor, FL
National Provider Identifier
1568249894
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HIGHLANDS BLVD OPCO LLC
Practice address
2600 Highlands Blvd N
Palm Harbor, FL 34684-2114
Phone
(727) 785-5671
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Nathan Freund
Title
Authorized Member
Phone
(727) 785-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2600 Highlands Blvd N
Palm Harbor, FL 34684-2114

Mailing address

2600 Highlands Blvd N
Palm Harbor, FL 34684-2114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403004377 FL Part A Provider - Skilled Nursing Facility 9537507900 Practice locations: Palm Harbor, FL

Skilled nursing facility certification: CCN 105394

Legal name
HIGHLANDS BLVD OPCO LLC
Doing business as
AVIATA AT THE PALMS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 28, 1981
Last certification
Aug 9, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2600 Highlands Blvd N
Palm Harbor, FL 34684-2114
Nursing home name
AVIATA AT THE PALMS
Affiliated entity
AVIATA HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aviata at the PalmsCCN 105394 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 28, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.0 residents per day on average
Chain
Aviata Health Group50 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
10D0026177Aviata at the Palms2600 Highlands Blvd North, Palm Harbor, FL 34684Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Organization, Springfield, MO Adp of the SNF Jul 22, 2025
Asp FL LLC Organization, Jackson, NJ LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 15, 2023 100%
Aspire Healthcare LLC Organization, Jackson, NJ LLC, For-profit Adp of the SNF Nov 15, 2023
Organization, Plano, TX Corporation Adp of the SNF Jun 24, 2025
Nochum Freund Individual Corporate OfficerCoo Nov 15, 2023
Operational/Managerial Control Nov 15, 2023
Indirect Ownership Interest Nov 15, 2023 66.67%
Samantha Proctor Individual Operational/Managerial Control Apr 7, 2025
Adp of the SNF Apr 7, 2025
Marium Tariq Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Highlands Blvd Parent LLC Organization, Jackson, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Nov 15, 2023 100%
Organization, Brooklyn, NY Adp of the SNF Jul 21, 2025

Owners & managing parties with NPI records 1

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

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1568249894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 HIGHLANDS BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HIGHLANDS BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842114",
            "telephone_number": "727-785-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS BLVD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "727-785-5671"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.