Active NPI
Ashley Street SNF Operations LLC
- Skilled Nursing Facility
- Jacksonville, FL
National Provider Identifier
1831820877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ASHLEY STREET SNF OPERATIONS LLC
- Practice address
- 333 E Ashley St
Jacksonville, FL 32202-2709 - Phone
- (904) 798-5300
- NPI assigned
- Jun 21, 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
- Solomon Klein
- Title
- Member
- Phone
- (347) 909-1811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
333 E Ashley St
Jacksonville, FL 32202-2709
Mailing address
333 E Ashley St
Jacksonville, FL 32202-2709
Other names 1
- North Bank Center for Rehabilitation and Healing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230605001515 | FL | Part A Provider - Skilled Nursing Facility | 5193182244 | Practice locations: Jacksonville, FL |
Skilled nursing facility certification: CCN 105834
- Legal name
- ASHLEY STREET SNF OPERATIONS LLC
- Doing business as
- NORTH BANK CENTER FOR REHABILITATION AND HEALING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 15, 1993
- Last certification
- Oct 12, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jul 5, 2022 in DE
- Enrollment address
- 333 E Ashley St
Jacksonville, FL 32202-2709 - Nursing home name
- NORTH BANK CENTER FOR REHABILITATION AND HEALING
- Affiliated entity
- SUMMIT CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- North Bank Center for Rehabilitation and Healing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 15, 1993
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Summit Care
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 |
|---|---|---|---|
| 10D0268297 | North Bank Center for Rehabilitaion & Healing | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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 | Sep 30, 2022 | 50% |
| Ashley Street SNF Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2022 | 100% |
| Ashley Street SNF Intermediary Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 30, 2022 | 100% |
| Justin Blumenthal | W-2 Managing Employee | Mar 20, 2023 | |
| Ashley Street Opco Manager LLC | Operational/Managerial Control | Sep 30, 2022 | 100% |
| Chava Wolofsky | 5% Or Greater Indirect Ownership Interest | Sep 30, 2022 | 22.5% |
| Yisroel E Herzka | 5% Or Greater Indirect Ownership Interest | Sep 30, 2022 | 22.5% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1063401057
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672790400000",
"number": "1831820877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E ASHLEY ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322022709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E ASHLEY ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322022709",
"telephone_number": "904-798-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLEY STREET SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-21",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "347-909-1811"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Bank Center for Rehabilitation and Healing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.