Organization Active NPI

Ashley Street SNF Operations LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1831820877
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jan 4, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealingCCN 105834
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 15, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120104.1 residents per day on average
Chain
Summit Care22 facilities in the chain

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
10D0268297North Bank Center for Rehabilitaion & Healing333 E Ashley Street, Jacksonville, FL 32202Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Solomon Klein Individual 5% Or Greater Indirect Ownership Interest Sep 30, 2022 50%
Ashley Street SNF Operations Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Sep 30, 2022 100%
Ashley Street SNF Intermediary Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Sep 30, 2022 100%
Justin Blumenthal Individual W-2 Managing EmployeeAdministrator Mar 20, 2023
Ashley Street Opco Manager LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Sep 30, 2022 100%
Chava Wolofsky Individual 5% Or Greater Indirect Ownership Interest Sep 30, 2022 22.5%
Yisroel E Herzka Individual 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.

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

Verify at the official NPI Registry.