Organization Active NPI

Winter Garden Rehab, LLC

Doing business as Winter Garden Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Winter Garden, FL
National Provider Identifier
1790346708
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINTER GARDEN REHAB, LLC
Doing business as
Winter Garden Rehabilitation and Nursing Center
Practice address
12751 W Colonial Dr
Winter Garden, FL 34787-4113
Phone
(407) 877-6636
NPI assigned
Jun 21, 2019
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Samuel Gutman
Title
Authorized Signer
Phone
(718) 852-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

12751 W Colonial Dr
Winter Garden, FL 34787-4113

Mailing address

1000 Gates Ave
Brooklyn, NY 11221-6295
Phone (718) 852-7000

Other names 1

  • Winter Garden Rehabilitation and Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190807000689 FL Part A Provider - Skilled Nursing Facility 6800123332 Practice locations: Winter Garden, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790346708. Details of each certification follow.

Skilled nursing facility certification: CCN 105518

Legal name
WINTER GARDEN REHAB, LLC
Doing business as
WINTER GARDEN REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 9, 1985
Last certification
Feb 7, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Aston Health Consulting
Organization structure
LLCProprietary
Incorporated
Dec 3, 2018 in FL
Enrollment address
12751 W Colonial Dr
Winter Garden, FL 34787-4113
Nursing home name
WINTER GARDEN REHABILITATION AND NURSING CENTER
Affiliated entity
ASTON HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Winter Garden Rehabilitation and Nursing CenterCCN 105518 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 9, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120109.2 residents per day on average
Chain
Aston Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0299087Winter Garden Rehab,LLC12751 West Colonial Dr, Winter Garden, FL 34787Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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 14

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

NameRoleSinceShare
Organization, Brooklyn, NY LLC, For-profit Adp of the SNF Sep 16, 2025
Alecia S. Jack Individual Operational/Managerial Control Mar 31, 2025
Adp of the SNF Oct 15, 2025
Aston Healthcare LLC Organization, Brooklyn,, NY LLC, Consulting firm, For-profit Adp of the SNF Jan 1, 2022
Chana Renee Thomas Individual Operational/Managerial Control Apr 29, 2024
Mark Britton Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Oct 15, 2025
WG Rehab 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 Dec 3, 2018 100%
Neema Fadil Richardson Individual Operational/Managerial Control Dec 25, 2023
Donna Wildes Individual Corporate OfficerCeo Aug 28, 2025
Operational/Managerial Control Aug 28, 2025
Adp of the SNF Aug 28, 2025
Quality Rehab 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 1, 2019 100%
Individual Indirect Ownership Interest Aug 1, 2019 0.49%
Individual Direct Ownership Interest Aug 29, 2019 1%
Samuel Gutman Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2019 48.51%
Leopold Friedman Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2019 51%
Organization, Brooklyn, NY LLC, Consulting firm, For-profit Adp of the SNF Sep 16, 2025

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 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1790346708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216295",
            "telephone_number": "718-852-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874113",
            "telephone_number": "407-877-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER GARDEN REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "718-852-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winter Garden Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.