Active NPI
Solaris Healthcare Merritt Island LLC
- Skilled Nursing Facility
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SOLARIS HEALTHCARE MERRITT ISLAND LLC
- Practice address
- 500 Crockett Blvd
Merritt Island, FL 32953-5034 - Phone
- (321) 454-4035
- NPI assigned
- Oct 8, 2015
- 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
- Stacey Wilkins
- Title
- Manager
- Phone
- (321) 454-4035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
500 Crockett Blvd
Merritt Island, FL 32953-5034
Mailing address
PO Box 3310
Windermere, FL 34786-3310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151222002250 | FL | Part A Provider - Skilled Nursing Facility | 4789985458 | Practice locations: Merritt Island, FL |
Skilled nursing facility certification: CCN 105701
- Legal name
- SOLARIS HEALTHCARE MERRITT ISLAND LLC
- Doing business as
- SOLARIS HEALTHCARE MERRITT ISLAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 1, 1990
- Last certification
- Aug 22, 2024
- Beds
- 180
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Solaris Foundation
- Most recent change of ownership
- Jan 1, 2016
- Organization structure
- LLC
- Incorporated
- Oct 6, 2015 in FL
- Enrollment address
- 500 Crockett Blvd
Solaris Healthcare Merritt Island
Merritt Island, FL 32953-5034 - Nursing home name
- SOLARIS HEALTHCARE MERRITT ISLAND
- Affiliated entity
- SOLARIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Solaris Healthcare Merritt Island
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 1, 1990
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Solaris Healthcare
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 |
|---|---|---|---|
| 10D0716001 | Solaris Healthcare Merritt Island | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 21
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 | Jan 1, 2016 | ||
| Adp of the SNF | Jan 1, 2016 | ||
| Stacey Wilkins | Corporate Officer | Oct 21, 2024 | 100% |
| Corporate Director | Oct 21, 2024 | 33.33% | |
| Operational/Managerial Control | Oct 21, 2024 | ||
| Adp of the SNF | Apr 7, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Shelby Parker | Adp of the SNF | Oct 1, 2016 | |
| Shawn Corley | Corporate Officer | Jun 1, 2022 | |
| Operational/Managerial Control | Jun 1, 2022 | ||
| Managing Control - Governing Body | Jun 1, 2022 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Michael Berkowitz | Corporate Director | Jun 1, 2022 | |
| Merritt Island Healthcare Holdings, LLC | 5% Or Greater Direct Ownership Interest | Oct 20, 2015 | 100% |
| Joseph Rabinowitz | Adp of the SNF | Jun 8, 2026 | |
| Chaim Herzka | Corporate Director | Jun 1, 2022 | |
| Joseph Oberlander | Corporate Director | Jun 1, 2022 | |
| Miriam Buxbaum | Corporate Director | Jun 1, 2022 | |
| Charish Lunsford | Corporate Officer | Jun 1, 2018 | |
| Corporate Director | Jun 1, 2018 | 33.33% | |
| Operational/Managerial Control | Jun 1, 2018 | ||
| Solaris Healthcare Properties LLC | 5% Or Greater Indirect Ownership Interest | Oct 6, 2015 | 100% |
| Karen Mayer | Corporate Officer | Jan 28, 2025 | |
| Corporate Director | Jan 28, 2025 | 33.33% | |
| Operational/Managerial Control | Jan 28, 2025 | ||
| Thomas Bell | Corporate Officer | Jun 1, 2022 | |
| Corporate Director | Jun 1, 2022 | ||
| Adp of the SNF | Jan 1, 2016 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Apr 10, 2025 | ||
| Solaris Foundation Inc. | 5% Or Greater Indirect Ownership Interest | Oct 6, 2015 | 100% |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Apr 10, 2025 |
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 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Hudson, FL
- NPI 1043681620
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Port Charlotte, FL
- NPI 1275904864
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Coconut Creek, FL
- NPI 1528439114
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Daytona Beach, FL
- NPI 1053782649
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1619348257
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Lake City, FL
- NPI 1770954364
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1053782524
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Stuart, FL
- NPI 1487025078
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1194196782
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Plant City, FL
- NPI 1649641234
Solaris Foundation Inc., Solaris Healthcare Properties LLC
-
- Skilled Nursing Facility
- Orlando, FL
- NPI 1912378514
Solaris Foundation Inc., Solaris Healthcare Properties LLC
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Palm Bay, FL
- NPI 1780047464
Nursing home
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1861655060
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1679944268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3310",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347863310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CROCKETT BLVD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329535034",
"telephone_number": "321-454-4035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLARIS HEALTHCARE MERRITT ISLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "321-454-4035"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.