Active NPI
Winter Park FL Opco LLC
- Skilled Nursing Facility
- Winter Park, FL
National Provider Identifier
1770116519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WINTER PARK FL OPCO LLC
- Practice address
- 2970 Scarlet Rd
Winter Park, FL 32792-4399 - Phone
- (407) 671-8030
- NPI assigned
- Feb 20, 2020
- 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
- Batya Gorelick
- Title
- VP of Administrative Services
- Phone
- (407) 671-8030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2970 Scarlet Rd
Winter Park, FL 32792-4399
Mailing address
440 Sylvan Ave Ste 240
Englewood Cliffs, NJ 07632-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201125001142 | FL | Part A Provider - Skilled Nursing Facility | 7517378409 | Practice locations: Winter Park, FL |
Skilled nursing facility certification: CCN 105332
- Legal name
- WINTER PARK FL OPCO LLC
- Doing business as
- WINTER PARK CARE & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 25, 1978
- Last certification
- Feb 17, 2024
- Beds
- 103
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Brightline Health Group
- Organization structure
- LLC
- Incorporated
- Feb 6, 2020 in FL
- Enrollment address
- 2970 Scarlet Rd
Winter Park, FL 32792-4399 - Nursing home name
- WINTER PARK CARE AND REHABILITATION
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Winter Park Care and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 25, 1978
- Medicare certification status
- Active
- Certified beds
- 103
- Chain
- Simcha Hyman & Naftali Zanziper
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Batya Gorelick | Corporate Officer | Apr 1, 2020 | |
| Simcha Melech Hyman | 5% Or Greater Direct Ownership Interest | Apr 1, 2020 | 50% |
| Nicole Fulton | W-2 Managing Employee | Apr 1, 2020 | |
| Alex Terentev | Operational/Managerial Control | Apr 1, 2020 | |
| Naftali Zanziper | 5% Or Greater Direct Ownership Interest | Apr 1, 2020 | 50% |
| Orchid Cove Health Group LLC | Operational/Managerial Control | Feb 6, 2020 | 100% |
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": "1582156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1770116519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SYLVAN AVE STE 240",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 SCARLET RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924399",
"telephone_number": "407-671-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTER PARK FL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "GORELICK",
"authorized_official_first_name": "BATYA",
"authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "407-671-8030"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
- Winter Park Dental Arts P.a
- Winter Park Dental PA
- Winter Park Dentistry
- Winter Park Elderly Services
- Winter Park Family Health Center Inc
- Winter Park Hearing AIDS LLC (Winter Park Hearing Aids)
- Winter Park Internal Medicine MD PA
- Winter Park Medicine LLC
- Winter Park OBGYN
- Winter Park Ophthalmology PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.