NPIMap

Organization Active NPI

Boynton Opco LLC

  • Skilled Nursing Facility
  • Boynton Beach, FL
National Provider Identifier
1841902467
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BOYNTON OPCO LLC
Practice address
3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone
(561) 737-5600
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mathew Varghese
Title
Authorized Person
Phone
(917) 817-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3001 S Congress Ave
Boynton Beach, FL 33426-9012

Mailing address

300 Provider CT
Richmond, KY 40475-8488
Phone (917) 817-3530

Other names 1

  • Isles of Boynton Nursing & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613003313 FL Part A Provider - Skilled Nursing Facility 5496110900 Practice locations: Boynton Beach, FL

Skilled nursing facility certification: CCN 105496

Legal name
BOYNTON OPCO LLC
Doing business as
ISLES OF BOYNTON NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 5, 1985
Last certification
Aug 29, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Excelsior Care Group FL
Organization structure
LLCProprietary
Incorporated
Dec 2, 2022 in DE
Enrollment address
3001 S Congress Avenue
Boynton Beach, FL 33426-9012
Nursing home name
ISLES OF BOYNTON NURSING AND REHAB CENTER
Affiliated entity
EXCELSIOR CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Isles of Boynton Nursing and Rehab CenterCCN 105496
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 5, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180171.0 residents per day on average
Chain
Excelsior Care Group33 facilities in the chain
Penalties (3 years)
2Fines totaling $16,152

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
10D0678286Isles of Boynton Nursing and Rehab Center3001 S Congress Ave, Boynton Beach, FL 33426Certificate of waiverAug 31, 2026

National Provider Directory

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 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mayer Fischel Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 5%
Palm Beach Health Partners LLC Organization, Richmond, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Mathew K Varghese Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 5%
John Glass Individual W-2 Managing EmployeeAdministrator Apr 1, 2023 100%
Benjamin Landa Individual Corporate OfficerManager Apr 1, 2023 100%
Flnho Capital Group LLC Organization, Minneola, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 39.62%
Boynton Intermediate Opco Holdco LLC Organization, Richmond, KY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%

Facilities with the same owner 29

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

View all 29

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": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1841902467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758488",
            "telephone_number": "917-817-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269012",
            "telephone_number": "561-737-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "917-817-3530"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isles of Boynton Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.