NPIMap

Organization Active NPI

Flagler Pines Operations LLC

  • Skilled Nursing Facility
  • Bunnell, FL
National Provider Identifier
1780296186
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Mr. Solomon Klein
Title
Member
Phone
(347) 909-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

300 Dr Carter Blvd
Bunnell, FL 32110-6211

Mailing address

300 Dr Carter Blvd
Bunnell, FL 32110-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103002540 FL Part A Provider - Skilled Nursing Facility 7810307865 Practice locations: Bunnell, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780296186. Details of each certification follow.

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
LLCProprietary
Enrollment address
300 Dr Carter Blvd
Bunnell, FL 32110-6211
Nursing home name
FLAGLER HEALTH AND REHABILITATION CENTER
Affiliated entity
ASTON HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Flagler Health and Rehabilitation CenterCCN 105547 · All quality measures
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
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12099.3 residents per day on average
Chain
Aston Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

300 Dr Carter Blvd
Bunnell, FL 32110
Phone (386) 437-4168

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Blue Spring Healthcare Partners LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 13, 2020 100%
Delana Dawn Canidate Individual Operational/Managerial Control Jun 9, 2025
Adp of the SNF Oct 8, 2025
Flagler Pines Operations Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 13, 2020 100%
Aston Healthcare LLC Organization, Brooklyn, NY LLC, Consulting firm, For-profit Adp of the SNF Jan 1, 2022
Individual Indirect Ownership Interest Aug 13, 2020 1%
Eileen R. Wothers Individual Operational/Managerial Control Apr 29, 2025
Tammy Jardine Individual Operational/Managerial Control Nov 3, 2020
Donna Wildes Individual Corporate OfficerCeo Aug 28, 2025
Operational/Managerial Control Aug 28, 2025
Adp of the SNF Aug 28, 2025
Axel Martinez Irizarry Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Oct 8, 2025
Samuel Gutman Individual 5% Or Greater Indirect Ownership Interest Aug 13, 2020 99%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1780296186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DR CARTER BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DR CARTER BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106211",
            "telephone_number": "386-437-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER PINES OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-909-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

Verify at the official NPI Registry.