Flagler Pines Operations LLC
Organization Active NPI Skilled Nursing Facility · Bunnell, FL
NPI 1780296186 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1780296186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FLAGLER PINES OPERATIONS LLC
- Practice address
- 300 Dr Carter Blvd
Bunnell, FL 32110-6211 - Phone
- (386) 437-4168
- NPI assigned
- Aug 18, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Solomon Klein
- Title
- Member
- Phone
- (347) 909-1811
Owners & managing parties with NPI records 1
Facilities with the same owner 4
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Flagler Health and Rehabilitation Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1986
- Certified beds
- 120 · 99.3 residents per day on average
- Chain
- Aston Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Skilled nursing facility certification: CCN 105547
- Legal name
- FLAGLER PINES OPERATIONS LLC
- Doing business as
- FLAGLER HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1986
- Last certification
- Dec 21, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 300 Dr Carter Blvd
Bunnell, FL 32110-6211 - Nursing home name
- FLAGLER HEALTH AND REHABILITATION CENTER
- Affiliated entity
- ASTON HEALTH
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Blue Spring Healthcare Partners LLC |
5% Or Greater Indirect Ownership Interest | Aug 13, 2020 | 100% |
| Delana Dawn Canidate |
Operational/Managerial Control | Jun 9, 2025 | |
| Adp of the SNF | Oct 8, 2025 | ||
| Flagler Pines Operations Holdings LLC |
5% Or Greater Direct Ownership Interest | Aug 13, 2020 | 100% |
| Aston Healthcare LLC |
Adp of the SNF | Jan 1, 2022 | |
| |
Indirect Ownership Interest | Aug 13, 2020 | 1% |
| Eileen R. Wothers |
Operational/Managerial Control | Apr 29, 2025 | |
| Tammy Jardine |
Operational/Managerial Control | Nov 3, 2020 | |
| Donna Wildes |
Corporate Officer |
Aug 28, 2025 | |
| Operational/Managerial Control | Aug 28, 2025 | ||
| Adp of the SNF | Aug 28, 2025 | ||
| Axel Martinez Irizarry |
Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Oct 8, 2025 | ||
| Samuel Gutman |
5% Or Greater Indirect Ownership Interest | Aug 13, 2020 | 99% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201103002540 | FL | Part a Provider - Skilled Nursing Facility | 7810307865 | Practice locations: Bunnell, FL |
National Provider Directory
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
300 Dr Carter Blvd
Bunnell, FL 32110-6211
Mailing address
300 Dr Carter Blvd
Bunnell, FL 32110-6211
Other providers in Bunnell, FL
- Flagler County School Board
- Flagler County Tax Collector Ambulance
- Flagler Diagnostic & Sleeping Disorder, Inc, Inc
- Flagler Mental Health Center, PA
- Flagler Open Arms Services Inc
- Florida Department of Health
- Florida Department of Health
- Jennifer Lois Fraser
- Carmel Frawley
- Deborah A Frazer
All providers in Bunnell, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.