Active NPI
Washington Opco LLC
- Skilled Nursing Facility
- Chipley, FL
National Provider Identifier
1811624935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WASHINGTON OPCO LLC
- Practice address
- 879 Usery Rd
Chipley, FL 32428-9303 - Phone
- (954) 300-3878
- NPI assigned
- Aug 8, 2022
- 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
- Jacob Bengio
- Title
- Cfo
- Phone
- (954) 300-3878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
879 Usery Rd
Chipley, FL 32428-9303
Mailing address
2901 Stirling Rd Ste 200
Fort Lauderdale, FL 33312-6529
Phone (954) 300-3878
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230315001388 | FL | Part A Provider - Skilled Nursing Facility | 6608240676 | Practice locations: Chipley, FL |
Skilled nursing facility certification: CCN 105727
- Legal name
- WASHINGTON OPCO LLC
- Doing business as
- WASHINGTON REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1991
- Last certification
- Mar 7, 2024
- Beds
- 180
- Ownership / control type
- Corporation
- Multi-facility organization
- Washington OPCO, LLC
- Organization structure
- LLC
- Enrollment address
- 879 Usery Rd
Chipley, FL 32428-9303 - Nursing home name
- WASHINGTON REHABILITATION AND NURSING CENTER
- Affiliated entity
- VENTURA SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Washington Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 1991
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Ventura Services
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Avi Philipson | Adp of the SNF | Oct 26, 2022 | |
| Indirect Ownership Interest | Oct 26, 2022 | 10% | |
| Agrp 2011 Trust | Trustee of the SNF | Oct 26, 2022 | |
| Adp of the SNF | Oct 26, 2022 | ||
| Indirect Ownership Interest | Oct 26, 2022 | 20% | |
| Jeremie Paritzky | Operational/Managerial Control | Oct 26, 2022 | |
| Adp of the SNF | Oct 26, 2022 | ||
| Indirect Ownership Interest | Oct 26, 2022 | 10% | |
| Jacob Bengio | Operational/Managerial Control | Oct 26, 2022 | |
| Adp of the SNF | Oct 26, 2022 | ||
| Indirect Ownership Interest | Oct 26, 2022 | 2% | |
| Deborah Philipson 2011 Family Trust | Trustee of the SNF | Oct 26, 2022 | |
| Adp of the SNF | Oct 26, 2022 | ||
| Indirect Ownership Interest | Oct 26, 2022 | 20% | |
| Melinda S Gay | Operational/Managerial Control | Feb 7, 1974 | |
| Adp of the SNF | Feb 18, 2024 | ||
| Ventura Services - Florida, LLC | Adp of the SNF | Oct 26, 2022 | |
| Richards Mitchell & Cross PA | Adp of the SNF | Oct 26, 2022 | |
| James Allen Clemmons | Operational/Managerial Control | Oct 26, 2022 | |
| Adp of the SNF | Oct 26, 2022 | ||
| Washington Holdco LLC | Direct Ownership Interest | Jul 1, 2022 | 100% |
| Philipson Family Limited Liability Company, LLC | Adp of the SNF | Oct 26, 2022 | |
| Indirect Ownership Interest | Oct 26, 2022 | 40% | |
| Abraham Kraus | Adp of the SNF | Oct 26, 2022 | |
| Indirect Ownership Interest | Oct 26, 2022 | 23% | |
| Naomi Tessler | Adp of the SNF | Oct 26, 2022 | |
| Indirect Ownership Interest | Oct 26, 2022 | 5% | |
| Daniel Schaffer | Operational/Managerial Control | Oct 26, 2022 | |
| Adp of the SNF | Oct 26, 2022 | ||
| Indirect Ownership Interest | Oct 26, 2022 | 10% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Chipley, FL
- NPI 1114041662
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1811624935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 STIRLING RD STE 200",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126529",
"telephone_number": "954-300-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 USERY RD",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324289303",
"telephone_number": "954-300-3878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "BENGIO",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "954-300-3878"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.