Active NPI
John Knox Village of Florida, Inc.
- Skilled Nursing Facility
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1258096
- Legal business name
- JOHN KNOX VILLAGE OF FLORIDA, INC.
- Practice address
- 700 SW 4TH St
Pompano Beach, FL 33060-7678 - Phone
- (954) 247-5800
- Fax
- (954) 247-5837
- NPI assigned
- Sep 30, 2005
- 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
- William Kelly, CFO
- Title
- Chief Financial Officer
- Phone
- (954) 784-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1258096 | FL | Primary |
Addresses
Primary practice location
700 SW 4TH St
Pompano Beach, FL 33060-7678
Mailing address
700 SW 4TH St
Pompano Beach, FL 33060-7678
Phone (954) 247-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020376900 | Medicaid | FL |
Other names 1
- John Knox Village Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120315000045 | FL | Part A Provider - Skilled Nursing Facility | 1355500067 | Practice locations: Pompano Beach, FL |
Skilled nursing facility certification: CCN 105255
- Legal name
- JOHN KNOX VILLAGE OF FLORIDA, INC.
- Doing business as
- JOHN KNOX VILLAGE OF POMPANO BEACH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 1, 1976
- Last certification
- Apr 4, 2024
- Beds
- 194
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 6, 1978 in FL
- Enrollment address
- 700 SW 4TH Street
John Knox Village of Pompano Beach
Pompano Beach, FL 33060-3700 - Nursing home name
- JOHN KNOX VILLAGE OF POMPANO BEACH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- John Knox Village of Pompano Beach
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 1, 1976
- Medicare certification status
- Active
- Certified beds
- 194
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0886979 | John Knox Village of Pompano Beach | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 62
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 |
|---|---|---|---|
| Adp of the SNF | Apr 1, 2011 | ||
| Stephen Demers | Managing Control - Governing Body | Mar 1, 2024 | |
| Hana Salem | Operational/Managerial Control | Dec 27, 2018 | |
| Adp of the SNF | Dec 27, 2018 | ||
| Jennifer Zapata-Jones | Operational/Managerial Control | Jul 24, 2023 | |
| Adp of the SNF | Jul 24, 2023 | ||
| Debbie Williams | Operational/Managerial Control | Sep 23, 2019 | |
| Adp of the SNF | Sep 23, 2019 | ||
| Adp of the SNF | Aug 31, 2009 | ||
| Quality Care Rehab Inc | Operational/Managerial Control | Oct 1, 2015 | |
| John Knox Village of Florida, Inc. | 5% Or Greater Direct Ownership Interest | Sep 1, 2002 | 100% |
| Adp of the SNF | May 1, 2002 | ||
| Direct Ownership Interest | May 1, 2002 | 100% | |
| Cliftonlarsonallen LLP | Operational/Managerial Control | Dec 18, 2017 | |
| Adp of the SNF | Dec 18, 2017 | ||
| Krista Ali | Operational/Managerial Control | Jun 2, 2025 | |
| Adp of the SNF | Jun 2, 2025 | ||
| Juan Bermudez | Operational/Managerial Control | Apr 1, 2019 | |
| Adp of the SNF | Apr 1, 2019 | ||
| Karen Kennedy | Managing Control - Governing Body | Dec 1, 2023 | |
| Adp of the SNF | Mar 1, 2006 | ||
| William Gallo | Corporate Director | Jan 12, 2026 | |
| Managing Control - Governing Body | Jan 12, 2026 | ||
| Kimberly Ali | Operational/Managerial Control | Jun 1, 2020 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Howard S Koch | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Joucircla Thelusme | Operational/Managerial Control | Apr 29, 2024 | |
| Adp of the SNF | Apr 29, 2024 | ||
| Evelyn Marte | Operational/Managerial Control | Nov 15, 2024 | |
| Adp of the SNF | Nov 15, 2024 | ||
| Center for Innovation | Operational/Managerial Control | Apr 14, 2022 | |
| Adp of the SNF | Apr 14, 2022 | ||
| Trustbridge Inc. | Operational/Managerial Control | Mar 28, 2022 | |
| Adp of the SNF | Jul 18, 2025 | ||
| Nexdine LLC | Operational/Managerial Control | Sep 26, 2022 | |
| Adp of the SNF | Sep 26, 2022 | ||
| Samuel Hopkins | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Kellie Camp Thomas | Operational/Managerial Control | Apr 15, 2023 | |
| Adp of the SNF | Apr 15, 2023 | ||
| Michelle Clark | Managing Control - Governing Body | Jan 13, 2020 | |
| Adp of the SNF | Apr 5, 2022 | ||
| Jennifer Mooney | Operational/Managerial Control | Mar 17, 2025 | |
| Adp of the SNF | Mar 17, 2025 | ||
| Melissa B Honig | Corporate Officer | Nov 6, 2025 | |
| Operational/Managerial Control | Nov 6, 2025 | ||
| Adp of the SNF | Nov 6, 2025 | ||
| Kirsten Whiting | Operational/Managerial Control | Dec 18, 2017 | |
| Adp of the SNF | Dec 18, 2017 | ||
| Elizabeth Evans | Operational/Managerial Control | Aug 7, 2023 | |
| Adp of the SNF | Aug 7, 2023 | ||
| Pointclickcare Corp. | Operational/Managerial Control | May 8, 2014 | |
| Adp of the SNF | May 8, 2014 | ||
| Adp of the SNF | Dec 1, 2018 | ||
| Jack Crissy | Managing Control - Governing Body | Aug 25, 2022 | |
| Kelly McIntyre | Corporate Officer | Dec 16, 2022 | |
| Operational/Managerial Control | Dec 16, 2022 | ||
| Adp of the SNF | Dec 16, 2022 | ||
| Douglas Folsom | Corporate Officer | Jul 8, 2025 | |
| Operational/Managerial Control | Jul 8, 2025 | ||
| Adp of the SNF | Jul 8, 2025 | ||
| Minilik Belay | Operational/Managerial Control | Jan 7, 2020 | |
| Adp of the SNF | Jan 7, 2020 | ||
| Thom Price | Operational/Managerial Control | Mar 17, 2016 | |
| Adp of the SNF | Mar 17, 2016 | ||
| Tatyana McCullough | Operational/Managerial Control | Mar 25, 2015 | |
| Adp of the SNF | Mar 25, 2015 | ||
| Christine Simpson | Managing Control - Governing Body | May 1, 2025 | |
| Clark Rechkemmer | Managing Control - Governing Body | May 1, 2024 | |
| Adp of the SNF | Jun 29, 2018 | ||
| Adp of the SNF | Aug 3, 2018 | ||
| Jennifer Stevens | Operational/Managerial Control | Apr 24, 2023 | |
| Adp of the SNF | Apr 24, 2023 | ||
| Amy Kimberly | Operational/Managerial Control | Apr 14, 2024 | |
| Adp of the SNF | Apr 14, 2024 | ||
| Adp of the SNF | Apr 12, 2024 | ||
| Thomas McDowell | Managing Control - Governing Body | Sep 12, 2022 | |
| Jennifer Etienne | Operational/Managerial Control | Sep 12, 2022 | |
| Adp of the SNF | Sep 12, 2022 | ||
| Anouka Saint Charles | Operational/Managerial Control | Jul 6, 2023 | |
| Adp of the SNF | Jul 6, 2023 | ||
| Adp of the SNF | Dec 9, 2015 | ||
| Adp of the SNF | Jun 12, 2023 | ||
| Lamar Fisher | Managing Control - Governing Body | Jan 9, 2023 | |
| Carolyn Oberlander | Adp of the SNF | Oct 19, 2015 | |
| William Kelly | Corporate Officer | Jul 8, 2025 | |
| Operational/Managerial Control | Jul 8, 2025 | ||
| Adp of the SNF | Jul 8, 2025 | ||
| Brandon Byard | Operational/Managerial Control | Jul 8, 2025 | |
| Adp of the SNF | Jul 8, 2025 | ||
| Dirk de Jong | Managing Control - Governing Body | Sep 12, 2022 | |
| Adp of the SNF | Sep 30, 2011 | ||
| Richard Clarke | Managing Control - Governing Body | Jul 14, 2023 | |
| Health Care Professional Consulting Services, Inc. | Operational/Managerial Control | Oct 31, 2023 | |
| Adp of the SNF | Oct 31, 2025 | ||
| Eslie Hollingsworth | Operational/Managerial Control | Aug 29, 2022 | |
| Adp of the SNF | Aug 29, 2022 | ||
| Richard Aronowitz | Managing Control - Governing Body | Jul 14, 2023 | |
| Jennifer O'Flannery Anderson | Managing Control - Governing Body | Jul 14, 2023 | |
| Tamisha Collins | Operational/Managerial Control | Apr 15, 2019 | |
| Adp of the SNF | Apr 15, 2019 | ||
| Ivy Gold | Operational/Managerial Control | Feb 9, 2009 | |
| Adp of the SNF | Feb 9, 2009 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- West Palm Beach, FL
- NPI 1427022458
Managing Control - Governing Body
-
- Internal Medicine Physician
- Sunrise, FL
- NPI 1003872375
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| John Knox Home Health Agency, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | May 4, 1987 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Pompano Beach, FL
- NPI 1649499914
5% Or Greater Direct Ownership Interest
Facilities with the same owner 60
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Boca Raton, FL
- NPI 1134126071
Trustbridge Inc.
-
- Community Based Hospice Care Agency
- West Palm Beach, FL
- NPI 1538174263
Trustbridge Inc.
-
- Home Health Agency
- Pompano Beach, FL
- NPI 1649499914
John Knox Village of Florida, Inc.
-
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Cliftonlarsonallen LLP
-
- Skilled Nursing Facility
- Framingham, MA
- NPI 1750379715
Cliftonlarsonallen LLP
-
- Skilled Nursing Facility
- Bloomfield, CT
- NPI 1285690925
Cliftonlarsonallen LLP
-
- Skilled Nursing Facility
- Oneonta, AL
- NPI 1134111081
Quality Care Rehab Inc
-
- Skilled Nursing Facility
- Longmont, CO
- NPI 1699755660
Quality Care Rehab Inc
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Fort Lauderdale, FL
- NPI 1942381512
Nursing home
-
- Physical Medicine & Rehabilitation Physician
- Boca Raton, FL
- NPI 1972967701
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Ft Lauderdale, FL
- NPI 1871507780
Nursing home
-
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1346416799
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1255775805
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
- NPI 1619073574
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1790772127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SW 4TH ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607678",
"telephone_number": "954-247-5800",
"fax_number": "954-247-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW 4TH ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607678",
"telephone_number": "954-247-5800",
"fax_number": "954-247-5837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN KNOX VILLAGE OF FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "954-784-4747",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1258096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020376900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "John Knox Village Health Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.