Active NPI
Highlands Blvd Opco LLC
- Skilled Nursing Facility
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Palms
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 28, 1981
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Aviata Health Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0026177 | Aviata at the Palms | Certificate of waiver | Jul 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jul 22, 2025 | ||
| Asp FL LLC | Indirect Ownership Interest | Nov 15, 2023 | 100% |
| Aspire Healthcare LLC | Adp of the SNF | Nov 15, 2023 | |
| Adp of the SNF | Jun 24, 2025 | ||
| Nochum Freund | Corporate Officer | Nov 15, 2023 | |
| Operational/Managerial Control | Nov 15, 2023 | ||
| Indirect Ownership Interest | Nov 15, 2023 | 66.67% | |
| Samantha Proctor | Operational/Managerial Control | Apr 7, 2025 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Marium Tariq | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Highlands Blvd Parent LLC | Direct Ownership Interest | Nov 15, 2023 | 100% |
| 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.
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1033498068
Adp of the SNF, Operational/Managerial 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.