Dunedin Opco LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

DUNEDIN OPCO LLC

Practice address

1351 San Christopher Dr
Dunedin, FL 34698-5402

Phone

(718) 916-1443

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By 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

Joe Neuman

Title

Authorized Member

Phone

(718) 916-1443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740066513. Details of each certification follow.

• CCN 105350 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105350

Legal name

DUNEDIN OPCO LLC

Doing business as

LAKE HAVEN NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 30, 1979

Last certification

Oct 2, 2024

Beds

104

Ownership / control type

Corporation

Most recent change of ownership

Sep 1, 2023

Organization structure

LLCProprietary

Incorporated

Jul 21, 2023 in DE

Enrollment address

1351 San Christopher Dr
Dunedin, FL 34698-5402

Nursing home name

LAKE HAVEN NURSING AND REHAB CENTER

Affiliated entity

ELIYAHU MIRLIS

Listed as

Lake Haven Nursing and Rehab CenterCCN 105350 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 30, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10486.3 residents per day on average

Chain

Eliyahu Mirlis13 facilities in the chain

Penalties (3 years)

6Fines totaling $281,689

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.

• Daniel Lee Thorngren III, M.D.

  • Internal Medicine Physician
  • Safety Harbor, FL
  • NPI 1033537105

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

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Lee Thorngren III, M.D.

  • Internal Medicine Physician
  • Safety Harbor, FL
  • NPI 1033537105
  NPD (past)

Affiliated clinicians 1

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

• Pankajkumar K Joshi, MD

  • Internal Medicine Physician
  • Palm Harbor, FL
  • NPI 1871696195

  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": "1740066513",
    "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": "718-916-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 SAN CHRISTOPHER DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985402",
            "telephone_number": "718-916-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNEDIN 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": "JOE",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "718-916-1443"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Drongoski, B.S., RBT
• Kristal Dulleck, LMHC
• Lynda L Dunckley, RN
• Dunedin Chiropractic Inc (Back N. Balance)
• Dunedin Dental Associates, LLC
• Dunedin Pediatrics LLC
• Dunedin Surgical Consultants, LLC
• Leonard Jay Dunn, MD
• Rachel A Dunnagan, MD
• Jan A Duvoisin, MD

• Pediatric Skilled Nursing Facility in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Pediatric 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.