Orange Park Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ORANGE PARK OPCO LLC

Practice address

570 Wells Rd
Orange Park, FL 32073-2999

Phone

(904) 264-3912

NPI assigned

Jul 4, 2022

Last updated

Jul 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josef Cukier

Title

Manager

Phone

(904) 264-3912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841923265. Details of each certification follow.

• CCN 105692 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105692

Legal name

ORANGE PARK OPCO LLC

Doing business as

VIVO HEALTHCARE ORANGE PARK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 26, 1990

Last certification

Nov 21, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Sep 9, 2022

Organization structure

LLCProprietary

Incorporated

Jun 28, 2022 in FL

Enrollment address

570 Wells Rd
Orange Park, FL 32073-2999

Nursing home name

VIVO HEALTHCARE ORANGE PARK

Affiliated entity

VIVO HEALTHCARE

Listed as

Vivo Healthcare Orange ParkCCN 105692 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 26, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120113.2 residents per day on average

Chain

Vivo Healthcare12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Rajesh Kumar Vishen, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1346240504

  Adp of the SNF

  CMS ownership

Facilities with the same owner 16

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

• Coral Bay at Pensacola LLC

  • Skilled Nursing Facility
  • Pensacola, FL
  • NPI 1528792074

  Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership
• Ft Pierce Opco LLC

  dba Vivo Healthcare Ft Pierce

  • Skilled Nursing Facility
  • Fort Pierce, FL
  • NPI 1588341382

  Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership
• Gandy Opco LLC

  dba Vivo Healthcare Gandy

  • Skilled Nursing Facility
  • Tampa, FL
  • NPI 1558158501

  Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II, SF Irrevocable Trust

  CMS ownership
• Havens SNF Operator LLC

  dba Havens at Pensacola

  • Skilled Nursing Facility
  • Pensacola, FL
  • NPI 1851142392

  Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership
• Normandy Opco LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1942932520

  Ab Marbec Realty Group, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II, SF Irrevocable Trust

  CMS ownership
• St Amaro Opco LLC

  dba Vivo Healthcare Wauchula

  • Skilled Nursing Facility
  • Wauchula, FL
  • NPI 1700563517

  NMJ Irrv TR II

  CMS ownership
• Tarpon Opco LLC

  dba Vivo Healthcare Meadows

  • Skilled Nursing Facility
  • Sarasota, FL
  • NPI 1376342246

  Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership
• University Opco LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1306579909

  Ab Marbec Realty Group, Jek Irrv TR II, NMJ Irrv TR II

  CMS ownership
• Winter Haven Opco LLC

  dba Vivo Healthcare Winter Haven

  • Skilled Nursing Facility
  • Winter Haven, FL
  • NPI 1336826148

  Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership
• Cumberland HC Operations LLC

  dba Peace Healthcare at Lions Center

  • Skilled Nursing Facility
  • Cumberland, MD
  • NPI 1740948298

  Jek Holdings LLC, NMJ Holdings LLC

  CMS ownership
• Filosa Opco LLC

  • Skilled Nursing Facility
  • Danbury, CT
  • NPI 1356024848

  Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership
• Hancock Opco LLC

  • Skilled Nursing Facility
  • Danbury, CT
  • NPI 1356024574

  Jek Holdings LLC, Jek Irrv TR II, NMJ Holdings LLC, NMJ Irrv TR II

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ravish I Narvel, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124088604

  Nursing home

  Care Compare affiliation
• Bankim Patel, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1861699753

  Nursing home

  Care Compare affiliation
• Rajesh Kumar Vishen, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1346240504

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1841923265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732999",
            "telephone_number": "904-264-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A",
        "authorized_official_last_name": "CUKIER",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-264-3912"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange Park Medical Center, Inc. (HCA Florida Royal Pines ER, a part of HCA Florida Orange Park Hospital)
• Orange Park Medical Center, Inc. (HCA Florida Orange Park Hospital)
• Orange Park MGT, LLC (Oak View Rehabilitation Center)
• Orange Park Neurosurgery P.L.
• Orange Park Nursing LLC (The Palms Nursing and Rehab at Orange Park)
• Orange Park Orthopaedic Associates, P.a.
• Orange Park Pediatric Associates, PA
• Orange Park Pharmacy Inc (Orange Park Pharmacy LTC)
• Orange Park Pharmacy Inc.
• Orange Park Rehabilitation and Nursing Center LLC (Orange Park Rehabilitation and Nursing Center)

• Skilled Nursing Facility in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.

Verify at the official NPI Registry.