Active NPI
Ginger Drive Opco LLC
- Skilled Nursing Facility
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Tallahassee
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 6, 1983
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Aviata Health Group
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 10D0270149 | Aviata at Tallahassee | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stefan Samuel Mann | Operational/Managerial Control | Apr 4, 2025 | |
| Adp of the SNF | Apr 4, 2025 | ||
| Aspire MGT LLC | Adp of the SNF | Nov 2, 2023 | |
| Ginger Parent LLC | Direct Ownership Interest | Nov 2, 2023 | 100% |
| Ginger Heritage Holdco LLC | Indirect Ownership Interest | Nov 2, 2023 | 100% |
| Nochum Freund | Corporate Officer | Nov 2, 2023 | |
| Operational/Managerial Control | Nov 2, 2023 | ||
| Adp of the SNF | Jul 21, 2025 | ||
| Adp of the SNF | Jun 23, 2025 | ||
| Adp of the SNF | Jun 23, 2025 | ||
| Raymond Milliard | 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.
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1356847388
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1225327380
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.