Active NPI
Brooksville SNF Operations LLC
- Skilled Nursing Facility
- Brooksville, FL
National Provider Identifier
1811533193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BROOKSVILLE SNF OPERATIONS LLC
- Practice address
- 575 Lamar Ave
Brooksville, FL 34601-3228 - Phone
- (352) 799-2226
- Fax
- (352) 799-3368
- NPI assigned
- Nov 21, 2019
- Last updated
- Jan 17, 2020
- 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
- Mr. Solomon Klein
- Title
- Manager
- Phone
- (347) 909-1811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
575 Lamar Ave
Brooksville, FL 34601-3228
Mailing address
2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200420002554 | FL | Part A Provider - Skilled Nursing Facility | 3274963939 | Practice locations: Brooksville, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1811533193. Details of each certification follow.
Skilled nursing facility certification: CCN 105606
- Legal name
- BROOKSVILLE SNF OPERATIONS LLC
- Doing business as
- NORTHBROOK CENTER FOR REHABILITATION AND HEALING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 22, 1988
- Last certification
- Mar 27, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Dec 20, 2007
- Organization structure
- LLC
- Incorporated
- Sep 23, 2019 in FL
- Enrollment address
- 575 Lamar Ave
Brooksville, FL 34601-3228 - Nursing home name
- NORTHBROOK CENTER FOR REHABILITATION AND HEALING
- Affiliated entity
- SUMMIT CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Northbrook Center for Rehabilitation and Healing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 22, 1988
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Summit Care
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Solomon Klein | 5% Or Greater Indirect Ownership Interest | Mar 6, 2020 | 25% |
| Operational/Managerial Control | Mar 6, 2020 | ||
| Summit Care II Inc | Operational/Managerial Control | Mar 6, 2020 | |
| Ezriel Drebin | 5% Or Greater Indirect Ownership Interest | Mar 6, 2020 | 8% |
| Summit Care Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 9, 2020 | 100% |
| Shaul Kopelowitz | 5% Or Greater Indirect Ownership Interest | Mar 6, 2020 | 10% |
| Yisroel E Herzka | 5% Or Greater Indirect Ownership Interest | Mar 6, 2020 | 41.25% |
| Aaron Mayer | 5% Or Greater Indirect Ownership Interest | Mar 6, 2020 | 10% |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Milton, FL
- NPI 1982240263
Summit Care II Inc
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1574294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579219200000",
"number": "1811533193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 CENTRE POINTE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084930",
"telephone_number": "850-386-2831",
"fax_number": "850-386-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 LAMAR AVE",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013228",
"telephone_number": "352-799-2226",
"fax_number": "352-799-3368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKSVILLE SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-21",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "MANAGER",
"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 Brooksville, FL
- Brooksville Property Resources Inc (Springbrook Hospital)
- Brooksville Rehab 2000 Incorporated
- Brooksville RX LLC (Brooksville Drugs)
- Brooksville RX LLC (Brooksville Drugs)
- Brooksville SNF Investors LLC (Northbrook Health and Rehabilitation Center)
- Brooksville Walk in Clinic LLC
- Heather Kathleen Brosi, ND
- Brandi L. Broughton, PHYSICIAN ASSISTANT
- Brittany Marie Brown
- Michael Ryan Brown, DO, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.