Habana Way Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HABANA WAY OPCO LLC

Doing business as

Aviata at the Bay

Practice address

2916 Habana Way
Tampa, FL 33614-7108

Phone

(813) 876-5141

Fax

(813) 876-5233

NPI assigned

Aug 3, 2023

Last updated

Apr 9, 2025By 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

Nathan Freund

Title

Manager

Phone

(732) 730-7480

Specialties & licenses 1

Addresses

Other names 1

• Aviata at the Bay Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750063335. Details of each certification follow.

• CCN 105417 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105417

Legal name

HABANA WAY OPCO LLC

Doing business as

AVIATA AT THE BAY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1982

Last certification

Jun 28, 2024

Beds

150

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Nov 2, 2023

Organization structure

LLCProprietary

Incorporated

Jul 26, 2023 in FL

Enrollment address

2916 Habana Way
Tampa, FL 33614-7108

Nursing home name

AVIATA AT THE BAY

Affiliated entity

AVIATA HEALTH GROUP

Listed as

Aviata at the BayCCN 105417 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150142.3 residents per day on average

Chain

Aviata Health Group50 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

11Fines totaling $169,790

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 9

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.

• Krishna Tewari, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1871788745

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Fernando Diaz Mori, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1093972143

  Nursing home

  Care Compare affiliation
• Priya Rathan, M.D

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1689790487

  Nursing home

  Care Compare affiliation
• Krishna Tewari, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1871788745

  Nursing home

  Care Compare affiliation

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": "1750063335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HABANA WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147108",
            "telephone_number": "813-876-5141",
            "fax_number": "813-876-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 HABANA WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147108",
            "telephone_number": "813-876-5141",
            "fax_number": "813-876-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABANA WAY 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": "NU",
            "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 the Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Tampa, FL
• Providers in Tampa, 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 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.

Verify at the official NPI Registry.