CCRC Opco - Sun City Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CCRC OPCO - SUN CITY CENTER, LLC

Doing business as

Plaza West Health Center

Practice address

912 American Eagle Blvd
Sun City Center, FL 33573-5228

Phone

(813) 633-1992

NPI assigned

Jun 12, 2014

Last updated

Feb 17, 2026By 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

Christopher Grella

Title

Administrator

Phone

(813) 633-1992

Specialties & licenses 1

Addresses

Other names 1

• Plaza West Health Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699189126. Details of each certification follow.

• CCN 105866 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105866

Legal name

CCRC OPCO - SUN CITY CENTER. LLC

Doing business as

PLAZA WEST HEALTH CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jun 10, 1994

Last certification

May 12, 2023

Beds

113

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Health Peak

Organization structure

LLCProprietary

Enrollment address

912 American Eagle Blvd
Sun City Center, FL 33573-5228

Nursing home name

PLAZA WEST

Affiliated entity

HEALTHPEAK PROPERTIES, INC.

Listed as

Plaza WestCCN 105866 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 10, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11394.3 residents per day on average

Chain

Healthpeak Properties, Inc.15 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

Tax ID family

CCRC Opco - Sun City Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• CCRC Opco - Sun City Center, LLC

  dba Plaza West

  • Skilled Nursing Facility
  • Sun City Center, FL
  • NPI 1558311654
  NPD tax ID

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 28

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.

• Shahul Hameed Riazudeen, MD

  • Internal Medicine Physician
  • Wimauma, FL
  • NPI 1932163888

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 57

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

• Arlington of Naples LLC

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1326771015

  Life Care Services LLC

  CMS ownership
• CCRC - Lake Port Square, LLC

  dba Lake Port Square Health Center

  • Skilled Nursing Facility
  • Leesburg, FL
  • NPI 1073927331

  HCP Ma3, LP, HCP Partners LP, Life Care Services LLC

  CMS ownership
• CCRC - Regency Oaks, LLC

  dba Regency Oaks Health Center

  • Skilled Nursing Facility
  • Clearwater, FL
  • NPI 1164836425

  HCP Ma3, LP, HCP Partners LP, Life Care Services LLC

  CMS ownership
• CCRC - South Port Square, LLC

  dba Harbour Health Center

  • Skilled Nursing Facility
  • Port Charlotte, FL
  • NPI 1376957803

  Life Care Services LLC

  CMS ownership
• CCRC Opco - Bradenton, LLC

  dba Nursing Center at Freedom Village

  • Skilled Nursing Facility
  • Bradenton, FL
  • NPI 1417361858

  HCP Ma3, LP, HCP Partners LP, Life Care Services LLC

  CMS ownership
• CCRC Opco - Cypress Village, LLC

  dba Cypress Village

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1790199057

  HCP Ma3, LP, HCP Partners LP, Life Care Services LLC

  CMS ownership
• CCRC Opco-Freedom Square, LLC

  dba Freedom Square Health Care Center

  • Skilled Nursing Facility
  • Seminole, FL
  • NPI 1780098202

  Life Care Services LLC

  CMS ownership
• CCRC-Freedom Pointe at the Villages, LLC

  dba Freedom Pointe Health Center

  • Skilled Nursing Facility
  • Lady Lake, FL
  • NPI 1457587818

  HCP Ma3, LP, HCP Partners LP, Life Care Services LLC

  CMS ownership
• Pelican Bay Retirement Services Inc

  dba Premier Place at the Glenview

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1083663991

  Life Care Services LLC

  CMS ownership
• Brandon Wilde LLC

  dba The Pavilion at Brandon Wilde

  • Skilled Nursing Facility
  • Evans, GA
  • NPI 1780450924

  Life Care Services LLC

  CMS ownership
• Burcham Hills Retirement Center II

  dba Burcham Hills Retirement Community

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1659344844

  Life Care Services LLC

  CMS ownership
• Carillon, Inc.

  dba Bellecourt South

  • Skilled Nursing Facility
  • Lubbock, TX
  • NPI 1275524027

  Life Care Services LLC

  CMS ownership

Affiliated clinicians 11

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

• Burhaan Ahmad, M.D.

  • Internal Medicine Physician
  • Sun City Center, FL
  • NPI 1730137118

  Nursing home

  Care Compare affiliation
• Thomas Auld

  • Orthopaedic Surgery Physician
  • Riverview, FL
  • NPI 1447614227

  Nursing home

  Care Compare affiliation
• Jonathan Dychko

  • Internal Medicine Physician
  • Sun City Center, FL
  • NPI 1063972420

  Nursing home

  Care Compare affiliation
• Javed Hafeez, M.D.

  • Internal Medicine Physician
  • Sun City Center, FL
  • NPI 1588612337

  Nursing home

  Care Compare affiliation
• Naumaan Javed Hafeez, MD

  • Internal Medicine Physician
  • Sun City Center, FL
  • NPI 1194214502

  Nursing home

  Care Compare affiliation
• Peter Vincent Lopez, M.D.

  • Orthopaedic Hand Surgery Physician
  • Brandon, FL
  • NPI 1366404550

  Nursing home

  Care Compare affiliation
• Benjamin Panglao Marquez, MD

  • Family Medicine Physician
  • Sun City Center, FL
  • NPI 1235147182

  Nursing home

  Care Compare affiliation
• Teresa Louise Passalacqua, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1679915854

  Nursing home

  Care Compare affiliation
• Orlando Portal, M.D.

  • Internal Medicine Physician
  • Riverview, FL
  • NPI 1366626111

  Nursing home

  Care Compare affiliation
• Shahul Hameed Riazudeen, MD

  • Internal Medicine Physician
  • Wimauma, FL
  • NPI 1932163888

  Nursing home

  Care Compare affiliation
• Shikha Sharma, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1568403665

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1699189126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST STE 1200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147230",
            "telephone_number": "949-407-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 AMERICAN EAGLE BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735228",
            "telephone_number": "813-633-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRC OPCO - SUN CITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "GRELLA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-633-1992"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service:",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Plaza West Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine M Carpenter, DPT
• Kaci Carroll
• Michael George Caruso, MD
• Hector J Cases
• CCRC Opco - Sun City Center, LLC (Plaza West)
• Cedar Mountain Chartered
• Center for Radiation Oncology of Tampa Bay in (Center for Radiation Oncology)
• Darlene Marie Chamorro, DPT
• Renette Charles, ARNP
• Lori Chanelle Chase, PHYSICAL THERAPIST

• Skilled Nursing Facility in Sun City Center, FL
• Providers in Sun City Center, 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 17, 2026; 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.