Riverwood Nursing SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVERWOOD NURSING SNF LLC

Doing business as

Riverwood Healthcare & Rehabilitation Center

Practice address

808 S Colley Road
Starke, FL 32091

Phone

(904) 964-6220

NPI assigned

May 30, 2024

Last updated

May 30, 2024By 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

Chaim Tessler

Title

Manager

Phone

(347) 219-1330

Specialties & licenses 1

Addresses

Other names 1

• Riverwood Healthcare & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780424390. Details of each certification follow.

• CCN 105488 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105488

Legal name

RIVERWOOD NURSING SNF LLC

Doing business as

RIVERWOOD HEALTHCARE & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1984

Last certification

Jun 13, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

808 S Colley Rd
Starke, FL 32091-4215

Nursing home name

RIVERWOOD HEALTHCARE & REHABILITATION CENTER

Affiliated entity

THE SHERMAN FAMILY

Listed as

Riverwood Healthcare & Rehabilitation CenterCCN 105488 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120112.3 residents per day on average

Chain

The Sherman Family7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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)

All disclosed owners & managing parties 22

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.

• Joelle M Innocent-Simon, D.O.

  • Family Medicine Physician
  • Starke, FL
  • NPI 1205970134

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Facilities with the same owner 1

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

• Parklands Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Gainesville, FL
  • NPI 1942958384

  5H1 LLC, Golden Eagle Healthcare LLC, Stars FL LLC, Stars Re Properties LLC, Weinstock Family 2021 Trust

  CMS ownership

Affiliated clinicians 1

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

• Joelle M Innocent-Simon, D.O.

  • Family Medicine Physician
  • Starke, FL
  • NPI 1205970134

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1780424390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S COLLEY ROAD",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "32091",
            "telephone_number": "904-964-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOOD NURSING SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "TESSLER",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-219-1330"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverwood Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macey Ricks
• Julia Denyse Riemer
• Right Path Ranch Pediatric Therapy Clinic, LLC
• Riley Dynamics LLC
• Riverwood Healthcare & Rehabilitation Center LLC
• Susan Roach
• Rachel Roberts
• Rural Urgent Care LLC (MainStreet Family Care)
• Sagp Pharma LLC
• Salem Homes of Florida, Inc. (Walnut Street Group Home)

• Skilled Nursing Facility in Starke, FL
• Providers in Starke, 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 May 30, 2024; 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.