Voa Lee County Health Care Facility, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VOA LEE COUNTY HEALTH CARE FACILITY, INC.

Doing business as

The Preserve

Practice address

14750 Hope Center Loop
Ft. Myers, FL 33912

Phone

(952) 941-0305

NPI assigned

Oct 3, 2018

Last updated

Feb 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy A Gavin

Title

Assistant Secretary

Phone

(952) 983-4249

Specialties & licenses 1

Addresses

Other names 1

• The Preserve Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609351899. Details of each certification follow.

• CCN 106137 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 106137

Legal name

VOA LEE COUNTY HEALTH CARE FACILITY, INC.

Doing business as

THE PRESERVE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 9, 2020

Last certification

Nov 16, 2023

Beds

75

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Volunteers of America

Organization structure

OtherNon-profit

Incorporated

Oct 13, 2015 in FL

Enrollment address

14750 Hope Center Loop
Fort Myers, FL 33912-4700

Nursing home name

THE PRESERVE

Affiliated entity

VOLUNTEERS OF AMERICA SENIOR LIVING

Listed as

The PreserveCCN 106137 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 9, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7570.2 residents per day on average

Chain

Volunteers of America Senior Living6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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 Máximo (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)

All disclosed owners & managing parties 24

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.

• Anand Raj Mahadevan, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1245238245

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Vincent Charles Bianca III, MD

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1013903590

  Nursing home

  Care Compare affiliation
• Anand Raj Mahadevan, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1245238245

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1609351899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 OFFICE RIDGE CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443690",
            "telephone_number": "952-983-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 HOPE CENTER LOOP",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "952-941-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOA LEE COUNTY HEALTH CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-983-4249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Preserve",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Preserve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liza J Vitiello, MA, LMHC
• Matthew Aaron Vivian
• Abigail Vivonetto, PT, DPT
• Shannen Lea Vixler, ARNP
• Vincent Vo
• Liane Vogele, LMHC
• Stephen Lawrence Voigt, LCSW
• Steven John Voiles, M.D.
• Jordan Vokes
• William Louis Vollmer

• Skilled Nursing Facility in Fort Myers, FL
• Providers in Fort Myers, 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 Feb 5, 2021; 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.