NPIMap

Organization Active NPI

Senior Health-South Heritage, LLC

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1598769200
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF15030961 Issued in FL
Legal business name
SENIOR HEALTH-SOUTH HERITAGE, LLC
Practice address
718 22ND Ave S
St Petersburg, FL 33705-3004
Phone
(727) 894-5125
Fax
(727) 894-6839
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Howard Jaffe
Title
President
Phone
(215) 346-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF15030961 FL Primary

Addresses

Primary practice location

718 22ND Ave S
St Petersburg, FL 33705-3004

Mailing address

1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 801-7600

Other identifiers 1

IdentifierTypeStateIssuer
022636000MedicaidFL

Other names 1

  • SOUTH HERITAGE HEALTH AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000629 FL Part A Provider - Skilled Nursing Facility 1355422643 Practice locations: St Petersburg, FL

Skilled nursing facility certification: CCN 105117

Legal name
SENIOR HEALTH-SOUTH HERITAGE, LLC
Doing business as
SOUTH HERITAGE HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1982
Last certification
Feb 13, 2025
Beds
74
Ownership / control type
Nonprofit Corporation
Organization structure
LLCNon-profit
Incorporated
Nov 20, 2000 in FL
Enrollment address
718 22ND Ave S
St Petersburg, FL 33705-3004
Nursing home name
SOUTH HERITAGE HEALTH & REHABILITATION CENTER
Affiliated entity
SENIOR HEALTH SOUTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Heritage Health & Rehabilitation CenterCCN 105117
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7458.7 residents per day on average
Chain
Senior Health South8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $145,109

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

718 Lakeview Ave S
St Petersburg, FL 33705
Phone (727) 894-5125

1665 Palm Beach Lakes Blvd
Ste 700
West Palm Beach, FL 33401

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 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)…
  • 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 13

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

NameRoleSinceShare
Rich Depiano Individual Corporate OfficerBoard Member Apr 1, 2009
Senior Health South Ex LLC Organization, West Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 20, 2000 100%
Adp of the SNF Apr 1, 2025
Howard Jaffe Individual Corporate OfficerOfficer Apr 1, 2009
Penny Richmond Individual Corporate OfficerBoard Member Apr 1, 2009
Omega Healthcare Investors, Inc Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 1, 2005
Adp of the SNF Sep 1, 2005
Consulting Support Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 28, 2011
Adp of the SNF Apr 1, 2025
Nekeisha Crockett Wilson Individual Operational/Managerial Control Apr 8, 2010
Adp of the SNF Apr 8, 2010
Facility Support Company, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Dec 13, 2010
Adp of the SNF Apr 1, 2025
Samantha Katherine White Individual Operational/Managerial Control Oct 21, 2021
Adp of the SNF Oct 21, 2021
Ann Mullen Individual Corporate OfficerBoard Member Apr 1, 2009
Senior Health Properties-South Inc. Organization, West Palm Beach, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 30, 2000 100%
Kane Financial Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 6, 2012
Adp of the SNF Mar 24, 2025
Select Rehabilitation, LLC Organization, Glenview, IL LLC Adp of the SNF Aug 19, 2016

Owners & managing parties with NPI records 1

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

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1598769200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012108",
            "telephone_number": "561-801-7600",
            "fax_number": "727-894-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 22ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053004",
            "telephone_number": "727-894-5125",
            "fax_number": "727-894-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH-SOUTH HERITAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15030961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022636000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH HERITAGE HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.