Organization Active NPI

Ginger Drive Opco LLC

  • Skilled Nursing Facility
  • Tallahassee, FL
National Provider Identifier
1710669296
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GINGER DRIVE OPCO LLC
Practice address
3101 Ginger Dr
Tallahassee, FL 32308-4437
Phone
(850) 877-2177
Fax
(850) 942-1202
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Nathan Freund
Title
Manager
Phone
(732) 730-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3101 Ginger Dr
Tallahassee, FL 32308-4437

Mailing address

3101 Ginger Dr
Tallahassee, FL 32308-4437
Phone (850) 877-2177

Other names 1

  • Aviata at Tallahassee Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other Consulate Health Care

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122001205 FL Part A Provider - Skilled Nursing Facility 8921450362 Practice locations: Tallahassee, FL

Skilled nursing facility certification: CCN 105433

Legal name
GINGER DRIVE OPCO LLC
Doing business as
AVIATA AT TALLAHASSEE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 6, 1983
Last certification
Jun 20, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Aviata
Organization structure
LLCProprietary
Incorporated
Jul 26, 2023 in FL
Enrollment address
3101 Ginger Dr
Tallahassee, FL 32308-4437
Nursing home name
AVIATA AT TALLAHASSEE
Affiliated entity
AVIATA HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aviata at TallahasseeCCN 105433
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 6, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180143.6 residents per day on average
Chain
Aviata Health Group50 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0270149Aviata at Tallahassee3101 Ginger Dr, Tallahassee, FL 32308Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Stefan Samuel Mann Individual Operational/Managerial Control Apr 4, 2025
Adp of the SNF Apr 4, 2025
Aspire MGT LLC Organization, Jackson, NJ LLC, For-profit Adp of the SNF Nov 2, 2023
Ginger Parent LLC Organization, Jackson, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Nov 2, 2023 100%
Ginger Heritage Holdco LLC Organization, Jackson, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Nov 2, 2023 100%
Nochum Freund Individual Corporate OfficerCoo Nov 2, 2023
Operational/Managerial Control Nov 2, 2023
Organization, Brooklyn, NY Adp of the SNF Jul 21, 2025
Organization, Lakewood, NJ LLC Adp of the SNF Jun 23, 2025
Organization, Springfield, MO Adp of the SNF Jun 23, 2025
Raymond Milliard Individual Operational/Managerial Control Jul 29, 2024
Adp of the SNF Jul 29, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1710669296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GINGER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084437",
            "telephone_number": "850-877-2177",
            "fax_number": "850-942-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GINGER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084437",
            "telephone_number": "850-877-2177",
            "fax_number": "850-942-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINGER DRIVE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-730-7480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Consulate Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aviata at Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.