Organization Active NPI

John Knox Village of Florida, Inc.

  • Skilled Nursing Facility
  • Pompano Beach, FL
National Provider Identifier
1790772127
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1258096 Issued in FL
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

Updated by the provider on Jul 17, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020376900MedicaidFL

Other names 1

  • John Knox Village Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 BeachCCN 105255
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
194162.4 residents per day on average

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
10D0886979John Knox Village of Pompano Beach700 SW 4TH Street, Pompano Beach, FL 33060Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Networks

  • 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)
  • 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 Maximo (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)…

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.

NameRoleSinceShare
Organization, Sebastian, FL Corporation, Medical provider/supplier, Consulting firm Adp of the SNF Apr 1, 2011
Stephen Demers Individual Managing Control - Governing BodyVoluntary Board Member Mar 1, 2024
Hana Salem Individual Operational/Managerial Control Dec 27, 2018
Adp of the SNF Dec 27, 2018
Jennifer Zapata-Jones Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
Debbie Williams Individual Operational/Managerial Control Sep 23, 2019
Adp of the SNF Sep 23, 2019
Organization, Parkland, FL Corporation, Medical provider/supplier, Consulting firm Adp of the SNF Aug 31, 2009
Quality Care Rehab Inc Organization, Homosassa, FL Corporation, Medical provider/supplier Operational/Managerial Control Oct 1, 2015
John Knox Village of Florida, Inc. Organization, Pompano Beach, FL Corporation, Non-profit 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 Organization, Minneapolis, MN Financial institution, Consulting firm Operational/Managerial Control Dec 18, 2017
Adp of the SNF Dec 18, 2017
Krista Ali Individual Operational/Managerial Control Jun 2, 2025
Adp of the SNF Jun 2, 2025
Juan Bermudez Individual Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Karen Kennedy Individual Managing Control - Governing BodyVoluntary Board Member Dec 1, 2023
Organization, Miami, FL Corporation, Medical provider/supplier, Consulting firm Adp of the SNF Mar 1, 2006
William Gallo Individual Corporate DirectorVoluntary Board Member Jan 12, 2026
Managing Control - Governing BodyVoluntary Board Member Jan 12, 2026
Kimberly Ali Individual Operational/Managerial Control Jun 1, 2020
Adp of the SNF Jun 1, 2025
Howard S Koch Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Joucircla Thelusme Individual Operational/Managerial Control Apr 29, 2024
Adp of the SNF Apr 29, 2024
Evelyn Marte Individual Operational/Managerial Control Nov 15, 2024
Adp of the SNF Nov 15, 2024
Center for Innovation Organization, Linthicum, MD Non-profit Operational/Managerial Control Apr 14, 2022
Adp of the SNF Apr 14, 2022
Trustbridge Inc. Organization, West Palm Beach, FL Management services company, Non-profit Operational/Managerial Control Mar 28, 2022
Adp of the SNF Jul 18, 2025
Nexdine LLC Organization, Mansfield, MA LLC, Management services company Operational/Managerial Control Sep 26, 2022
Adp of the SNF Sep 26, 2022
Samuel Hopkins Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Kellie Camp Thomas Individual Operational/Managerial Control Apr 15, 2023
Adp of the SNF Apr 15, 2023
Michelle Clark Individual Managing Control - Governing BodyVice Chairman of the Board Jan 13, 2020
Organization, Fort Lauderdale, FL LLC, Medical staffing company Adp of the SNF Apr 5, 2022
Jennifer Mooney Individual Operational/Managerial Control Mar 17, 2025
Adp of the SNF Mar 17, 2025
Melissa B Honig Individual Corporate OfficerChief Executive Officer Nov 6, 2025
Operational/Managerial Control Nov 6, 2025
Adp of the SNF Nov 6, 2025
Kirsten Whiting Individual Operational/Managerial Control Dec 18, 2017
Adp of the SNF Dec 18, 2017
Elizabeth Evans Individual Operational/Managerial Control Aug 7, 2023
Adp of the SNF Aug 7, 2023
Pointclickcare Corp. Organization, Bloomington, MN Corporation, Management services company Operational/Managerial Control May 8, 2014
Adp of the SNF May 8, 2014
Organization, Montgomery, AL LLC, Consulting firm Adp of the SNF Dec 1, 2018
Jack Crissy Individual Managing Control - Governing BodyChairman of the Board Aug 25, 2022
Kelly McIntyre Individual Corporate OfficerCorporate Compliance Officer Dec 16, 2022
Operational/Managerial Control Dec 16, 2022
Adp of the SNF Dec 16, 2022
Douglas Folsom Individual Corporate OfficerChief Operating Officer Jul 8, 2025
Operational/Managerial Control Jul 8, 2025
Adp of the SNF Jul 8, 2025
Minilik Belay Individual Operational/Managerial Control Jan 7, 2020
Adp of the SNF Jan 7, 2020
Thom Price Individual Operational/Managerial Control Mar 17, 2016
Adp of the SNF Mar 17, 2016
Tatyana McCullough Individual Operational/Managerial Control Mar 25, 2015
Adp of the SNF Mar 25, 2015
Christine Simpson Individual Managing Control - Governing BodyVoluntary Board Member May 1, 2025
Clark Rechkemmer Individual Managing Control - Governing BodyResident Board Member May 1, 2024
Organization, Cleveland, OH Management services company Adp of the SNF Jun 29, 2018
Organization, Deerfield Beach, FL Medical provider/supplier Adp of the SNF Aug 3, 2018
Jennifer Stevens Individual Operational/Managerial Control Apr 24, 2023
Adp of the SNF Apr 24, 2023
Amy Kimberly Individual Operational/Managerial Control Apr 14, 2024
Adp of the SNF Apr 14, 2024
Organization, Deerfield Beach, FL Corporation, Medical provider/supplier Adp of the SNF Apr 12, 2024
Thomas McDowell Individual Managing Control - Governing BodyResident Board Member Sep 12, 2022
Jennifer Etienne Individual Operational/Managerial Control Sep 12, 2022
Adp of the SNF Sep 12, 2022
Anouka Saint Charles Individual Operational/Managerial Control Jul 6, 2023
Adp of the SNF Jul 6, 2023
Organization, Roseland, NJ LLC, Management services company Adp of the SNF Dec 9, 2015
Organization, Fort Lauderdale, FL LLC, Medical provider/supplier Adp of the SNF Jun 12, 2023
Lamar Fisher Individual Managing Control - Governing BodyVoluntary Board Member Jan 9, 2023
Carolyn Oberlander Individual Adp of the SNF Oct 19, 2015
William Kelly Individual Corporate OfficerChief Financial Officer Jul 8, 2025
Operational/Managerial Control Jul 8, 2025
Adp of the SNF Jul 8, 2025
Brandon Byard Individual Operational/Managerial Control Jul 8, 2025
Adp of the SNF Jul 8, 2025
Dirk de Jong Individual Managing Control - Governing BodyTreasurer of the Board Sep 12, 2022
Organization, Sparks Glencoe, MD Corporation, Medical provider/supplier Adp of the SNF Sep 30, 2011
Richard Clarke Individual Managing Control - Governing BodyVoluntary Board Member Jul 14, 2023
Health Care Professional Consulting Services, Inc. Organization, Sebastian, FL Corporation Operational/Managerial Control Oct 31, 2023
Adp of the SNF Oct 31, 2025
Eslie Hollingsworth Individual Operational/Managerial Control Aug 29, 2022
Adp of the SNF Aug 29, 2022
Richard Aronowitz Individual Managing Control - Governing BodyResident Board Member Jul 14, 2023
Jennifer O'Flannery Anderson Individual Managing Control - Governing BodyVoluntary Board Member Jul 14, 2023
Tamisha Collins Individual Operational/Managerial Control Apr 15, 2019
Adp of the SNF Apr 15, 2019
Ivy Gold Individual 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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John Knox Home Health Agency, Inc.Pompano Beach, FL, CCN 687338 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.

Facilities with the same owner 60

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

View all 60

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "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

Verify at the official NPI Registry.