NPIMap

Organization Active NPI

Village Place Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Port Charlotte, FL
National Provider Identifier
1851031470
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC
Practice address
2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone
(941) 624-5966
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Moshe Scheiner
Title
Authorized Official
Phone
(845) 490-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2370 Harbor Blvd
Port Charlotte, FL 33952-5024

Mailing address

2370 Harbor Blvd
Port Charlotte, FL 33952-5024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221025001391 FL Part A Provider - Skilled Nursing Facility 9638545197 Practice locations: Port Charlotte, FL

Skilled nursing facility certification: CCN 106072

Legal name
VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC
Doing business as
VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 16, 2006
Last certification
Jun 20, 2024
Beds
104
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 27, 2022
Organization structure
LLCProprietary
Incorporated
Jul 27, 2022 in FL
Enrollment address
2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Nursing home name
VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
GOLD FL TRUST II

Care Compare: Nursing home

Medicare Care Compare
Listed as
Village Place Healthcare and Rehabilitation CenterCCN 106072
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 16, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10498.4 residents per day on average
Chain
Gold FL Trust II36 facilities in the chain
Penalties (3 years)
1Fines totaling $291,005

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
10D0675733Village Place Healthcare and Rehabilitation2370 Harbor Blvd, Port Charlotte, FL 33952Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • 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)…
  • 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)

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
Silver FL Trust II Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Jul 27, 2022 45%
Copper FL Trust II Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Jul 27, 2022 10%
Jack Y Shelby Individual Corporate Officer Jul 27, 2022 100%
FL Master Opco Holdco LLC Organization, Miami, FL Created for acquisition, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 27, 2022 100%
Gold FL Trust II Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Jul 27, 2022 45%
Village SNF Holdco LLC Organization, Montebello, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Mar 23, 2022 100%
Melissa Shepard Individual W-2 Managing EmployeeAdministrator Jul 27, 2022 100%

Facilities with the same owner 34

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

View all 34

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": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1851031470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525024",
            "telephone_number": "941-624-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PLACE HEALTHCARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-490-6060"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.