Jacksonville Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JACKSONVILLE OPCO LLC

Practice address

5888 Blanding Blvd
Jacksonville, FL 32244-1927

Phone

(718) 916-1443

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By 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

Joe Neuman

Title

Authorized Member

Phone

(718) 916-1443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609652478. Details of each certification follow.

• CCN 105721 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105721

Legal name

JACKSONVILLE OPCO LLC

Doing business as

CEDAR HILL NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 19, 1991

Last certification

Aug 9, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 28, 2023 in DE

Enrollment address

5888 Blanding Blvd
Jacksonville, FL 32244-1927

Nursing home name

CEDAR HILL NURSING AND REHAB CENTER

Affiliated entity

ELIYAHU MIRLIS

Listed as

Cedar Hill Nursing and Rehab CenterCCN 105721 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 19, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120117.5 residents per day on average

Chain

Eliyahu Mirlis13 facilities in the chain

Penalties (3 years)

2Fines totaling $21,921

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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.

• Phuc V. Tran, MD

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1033185400

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Harpreet Singh, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1205944071

  Nursing home

  Care Compare affiliation
• Phuc V. Tran, MD

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1033185400

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1609652478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SHADY LANE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012351",
            "telephone_number": "732-364-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441927",
            "telephone_number": "718-916-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "718-916-1443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Mobile Imaging Services Inc
• Jacksonville Mobile Imaging Services Inc
• Jacksonville Multispecialty Group, LLC
• Jacksonville Natural Healing Center
• Jacksonville Nephrology PA
• Jacksonville Opco LLC (The Terrace of Jacksonville)
• Jacksonville Operating Company LLC (American Sleep Medicine)
• Jacksonville Oral Surgery PLLC
• Jacksonville Orthopaedic Institute Inc
• Jacksonville Orthopaedic Institute Inc

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, 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 Sep 6, 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.

Verify at the official NPI Registry.