Lake Worth Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE WORTH OPCO LLC

Practice address

4445 Pine Forest Dr
Lake Worth, FL 33463-4676

Phone

(718) 916-1443

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Josef Neuman

Title

Authorized Member

Phone

(718) 916-1443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105835

Legal name

LAKE WORTH OPCO LLC

Doing business as

PINE TRAIL NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 21, 1993

Last certification

Dec 20, 2024

Beds

60 (52 certified)

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Sep 1, 2023

Organization structure

LLCProprietary

Incorporated

Jul 19, 2023 in DE

Enrollment address

4445 Pine Forest Dr
Lake Worth, FL 33463-4676

Nursing home name

PINE TRAIL NURSING AND REHAB CENTER

Affiliated entity

ELIYAHU MIRLIS

Listed as

Pine Trail Nursing and Rehab CenterCCN 105835 · All quality measures

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

May 21, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5257.7 residents per day on average

Chain

Eliyahu Mirlis13 facilities in the chain

Penalties (3 years)

2Fines totaling $16,800

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

All disclosed owners & managing parties 6

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.

• Ruben Heriberto Colman, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1043339393

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Ruben Heriberto Colman, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1043339393

  Nursing home

  Care Compare affiliation
• Gordon L Grenn

  • Family Medicine Physician
  • Lake Worth, FL
  • NPI 1871603670

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1730965500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SHADY LANE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012351",
            "telephone_number": "732-364-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 PINE FOREST DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334634676",
            "telephone_number": "718-916-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "718-916-1443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Worth Chiropractic Center Inc
• Lake Worth Diagnostic Testing Group Inc
• Lake Worth Emergency Chiropractic Center
• Lake Worth Enterprise LLC
• Lake Worth Fire Department
• Lake Worth Orthodontics
• Lake Worth Rehabilitation Center LLC (Lake Worth Rehabilitation Center)
• Lake Worth SNF LLC (Terraces of Lake Worth Rehabilitation and Health Center)
• Lake Worth SNF LLC
• Lake Worth Therapy Center

• Skilled Nursing Facility in Lake Worth, FL
• Providers in Lake Worth, 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 Sep 6, 2023; 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.