NPIMap

Organization Active NPI

Lake Placid Operations LLC

  • Skilled Nursing Facility
  • Lake Placid, FL
National Provider Identifier
1710599014
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKE PLACID OPERATIONS LLC
Practice address
125 Tomoka Blvd S
Lake Placid, FL 33852-8123
Phone
(863) 465-7200
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Mr. Solomon Klein
Title
Member
Phone
(863) 465-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

125 Tomoka Blvd S
Lake Placid, FL 33852-8123

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930

Other names 1

  • Lake Placid Health and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124000055 FL Part A Provider - Skilled Nursing Facility 6204247208 Practice locations: Lake Placid, FL

Skilled nursing facility certification: CCN 105455

Legal name
LAKE PLACID OPERATIONS LLC
Doing business as
LAKE PLACID HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 17, 1984
Last certification
Feb 22, 2023
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Lilac Health Group
Organization structure
LLCProprietary
Incorporated
Aug 14, 2020 in FL
Enrollment address
125 Tomoka Blvd S
Lake Placid, FL 33852-8123

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Placid Health and Rehabilitation CenterCCN 105455
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 17, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180135.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Networks

  • 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)
  • 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 Maximo (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)…

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia L Spears Individual W-2 Managing Employee Nov 3, 2020
Robert B Schoenfeld Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 25%
Batya Gorelick Individual Corporate Officer May 1, 2021
SHNZ Holdings LLC Organization, Englewood Cliffs, NJ Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2022 75%
Alex Terentev Individual Other Jan 1, 2022
Lake Placid Operations Holdings LLC Organization, Englewood Cliffs, NJ Holding company 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Zanziper Family Trust Organization, Englewood Cliffs, NJ 5% Or Greater Indirect Ownership Interest Jan 1, 2022 37.5%
PPG GC Opcos II LLC Organization, Englewood Cliffs, NJ Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
Orchid Cove SNF Holdco LLC Organization, Englewood Cliffs, NJ Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
HC Family Trust Organization, Englewood Cliffs, NJ 5% Or Greater Indirect Ownership Interest Jan 1, 2022 37.5%
FL Oc Opco LLC Organization, Englewood Cliffs, NJ Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2022 25%
Orchid Cove Health Group LLC Organization, Maitland, FL Other Jan 1, 2022

Facilities with the same owner 62

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

View all 62

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1710599014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOMOKA BLVD S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528123",
            "telephone_number": "863-465-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLACID OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "863-465-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Placid Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Placid, FL

Sources for this page

Verify at the official NPI Registry.