NPIMap

The Christian & Missionary Alliance Foundation Inc

Organization Active NPI Skilled Nursing Facility · Fort Myers, FL

NPI 1669546321 · NPPES record last updated Mar 29, 2022

Key facts

NPI
1669546321
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Practice address
13880 Shell Point PLZ Ste 200
Fort Myers, FL 33908-3504
Phone
(239) 454-2041
Fax
(239) 454-2224
NPI assigned
Nov 17, 2006
Organization subpart
Yes
Parent organization (as reported)
THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC

Authorized official

Name
Tasha Marie Vassar
Title
Medical Billing Manager
Phone
(239) 433-7937

Owners & managing parties with NPI records 4

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 1

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

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

Affiliated clinicians 17

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

Medicare Care Compare: Nursing home

Listed as
Larsen Health Center CCN 105966
Overall star rating
★★★★☆ 4 of 5
Health inspections
★★★☆☆ 3 of 5
Staffing
★★★★★ 5 of 5
Quality measures
★★☆☆☆ 2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 4, 1997
Medicare certification status
Active (Provider of Services file)
Certified beds
180 · 152.8 residents per day on average
Chain
The Christian and Missionary Alliance (2 facilities)
Penalties (3 years)
1 · fines totaling $32,139

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0980263Larsen Health Center
13880 Shell Point Plaza, Suite 200, Fort Myers, FL 33908		Certificate of waiverNov 15, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Skilled nursing facility certification: CCN 105966

Legal name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION, INC
Doing business as
SHELL POINT - LARSEN PAVILION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 4, 1997
Last certification
May 22, 2025
Beds
180
Ownership / control type
Nonprofit Corporation
Organization structure
Corporation · Non-profit
Incorporated
Mar 23, 1967 in FL
Enrollment address
13880 Shell Point PLZ
Fort Myers, FL 33908-3503
Nursing home name
LARSEN HEALTH CENTER
Affiliated entity
THE CHRISTIAN AND MISSIONARY ALLIANCE

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.

NameRoleSinceShare
Archie White
Individual 		Corporate Director
Board Member		 Jan 1, 2008
Staffmd, LLC
Organization · Alpharetta, GA
Medical staffing company 		Adp of the SNF Jan 7, 2025
Chanley Christman
Individual 		Corporate Director
Board Member		 May 1, 2011
Jay Hibbard
Individual 		Corporate Director
Board Member		 Oct 1, 2009
Henry B Huisman
Individual 		Operational/Managerial Control Mar 31, 2025
Adp of the SNF Mar 31, 2025
Mark Ofarrell
Individual 		Corporate Director
Board Member		 Jan 1, 1994
Martin Schappell
Individual 		Corporate Officer
President and Ceo		 Mar 21, 2016
Operational/Managerial Control Mar 21, 2016
The Christian and Missionary Alliance
Organization · Colorado Springs, CO
Non-profit 		5% Or Greater Indirect Ownership Interest Jun 1, 1972 100%
Adp of the SNF Mar 23, 1967
John Davidson
Individual 		Corporate Director
Board Member		 Nov 1, 1995
Jeremy Dys
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Ken Baldes
Individual 		Corporate Director
Board Member		 Jan 1, 2001
Tom Flanders
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Lewis Rainey
Individual 		Corporate Officer
Cfo		 Jan 6, 2020
Operational/Managerial Control Jan 6, 2020
Michael Scales
Individual 		Corporate Director
Board Member		 Nov 1, 2002
Michele a Candelore
Individual 		Corporate Director
Medical Director		 Oct 1, 2024
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Jul 31, 2025
Charles Dewitt
Individual 		Corporate Director
Board Member		 Jan 1, 1990
Paul Cass
Individual 		Corporate Director
Board Member		 Jan 1, 2002
Aegis Therapies, Inc.
Organization · Frisco, TX
Corporation 		Adp of the SNF Oct 1, 2021
James D Glenn
Individual 		Corporate Director
Board Member		 Jan 1, 1991
Jon P Burdzy
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Donna Duss
Individual 		Corporate Director
Board Member		 Jan 1, 1994
Tasha M Vassar
Individual 		Corporate Director
Authorized Official		 Jun 4, 2017
Polaris Health LLC
Organization · Chicago, IL
LLC 		Adp of the SNF Mar 25, 2025
Wanda Anderson
Individual 		Corporate Director
Board Member		 Jan 1, 2008

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shell Point Home Health
Fort Myers, FL · CCN 687083		 Home health agency 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (13.2%)
5% Or Greater Security Interest (14.9%)
Other (100%)		 May 30, 2019
Jul 10, 2019
Sep 9, 2016
Mar 23, 1967

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100220000036 FL Part a Provider - Skilled Nursing Facility 9739072232 Practice locations: Fort Myers, FL
O20140819001276 FL Part B Supplier - Clinic/Group Practice 2860619632 Receives reassigned benefits from 588 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Loren J Zehr MD (6 organizations share this tax ID)
Part of
Loren J Zehr MD

Locations

15000 Shell Point Blvd
Ste 100
Fort Myers, FL 33908
Phone (813) 454-1111

15071 Shell Point Blvd
Fort Myers, FL 33908
Phone (239) 415-5432

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

13880 Shell Point PLZ Ste 200
Fort Myers, FL 33908-3504

Mailing address

15000 Shell Point Blvd
Suite#100
Fort Myers, FL 33908-1637
Phone (239) 454-2146

Other practice location 1

15071 Shell Point Blvd
Fort Myers, FL 33908-1639
Phone (239) 454-2146

Other identifiers

IdentifierTypeStateIssuer
022920200MedicaidFL
=========OtherFLTAX ID# (EIN)

Other names

  • Shell Point Nursing Pavilion Doing business as
  • The Larsen Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2022.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1669546321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD",
            "address_2": "SUITE#100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081637",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLZ STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-454-2041",
            "fax_number": "239-454-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15071 Shell Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339081639",
            "country_code": "US",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "239-433-7937"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022920200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID# (EIN)",
            "identifier": "=========",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shell Point Nursing Pavilion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Larsen Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Larsen Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

All providers in Fort Myers, FL · Skilled Nursing Facility in Florida

Sources for this page

Verify at the official NPI Registry.