Phillips Street Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHILLIPS STREET OPCO LLC

Doing business as

Aviata at the Gardens - Tallahassee

Practice address

1650 Phillips Rd
Tallahassee, FL 32308-5304

Phone

(850) 942-9868

Fax

(850) 942-1074

NPI assigned

Aug 3, 2023

Last updated

Apr 9, 2025By 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

Nathan Freund

Title

Manager

Phone

(732) 730-7480

Specialties & licenses 1

Addresses

Other names 1

• Aviata at the Gardens - Tallahassee Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851073340. Details of each certification follow.

• CCN 105764 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105764

Legal name

PHILLIPS STREET OPCO LLC

Doing business as

ASPIRE AT THE GARDENS - TALLAHASSEE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1992

Last certification

Feb 13, 2025

Beds

120 (109 certified)

Ownership / control type

Corporation

Multi-facility organization

Aviata Health Group

Organization structure

LLCProprietary

Incorporated

Jul 26, 2023 in FL

Enrollment address

1650 Phillips Rd
Tallahassee, FL 32308-5304

Nursing home name

AVIATA AT THE GARDENS - TALLAHASSEE

Listed as

Aviata at the Gardens - TallahasseeCCN 105764 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

109114.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 17

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.

• Robert D Rowland, M.D.

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1114928603

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 8

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

• Oak Street Opco LLC

  dba Aviata at Green Cove Springs

  • Skilled Nursing Facility
  • Green Cove Springs, FL
  • NPI 1134808306

  Aih Holdings 10 LLC, Altranais Care Centers LLC, Aspire Investors Holdings II LLC, Aspire Investors Holdings LLC, Graf Holdings LLC, Hautco Holdings LLC, Hautco LLC, Leinen LLC

  CMS ownership
• Shore Drive Opco LLC

  dba Aviata at the Sea - Pasadena

  • Skilled Nursing Facility
  • South Pasadena, FL
  • NPI 1811676083

  Aih Holdings 10 LLC, Altranais Care Centers LLC, Aspire Investors Holdings II LLC, Aspire Investors Holdings LLC, Aspire MGT LLC, Graf Holdings LLC, Hautco Holdings LLC, Hautco LLC, Leinen LLC

  CMS ownership
• South Tuttle Ave Opco LLC

  dba Aviata at Sarasota

  • Skilled Nursing Facility
  • Sarasota, FL
  • NPI 1811676984

  Aih Holdings 10 LLC, Altranais Care Centers LLC, Aspire Investors Holdings II LLC, Aspire Investors Holdings LLC, Aspire MGT LLC, Graf Holdings LLC, Hautco Holdings LLC, Hautco LLC, Leinen LLC

  CMS ownership
• 1102 River Road Opco LLC

  dba Avir at Boerne

  • Skilled Nursing Facility
  • Boerne, TX
  • NPI 1538965330

  Graf Holdings LLC

  CMS ownership
• 1638 VZ CR 1803 Opco LLC

  dba Avir at Grand Saline

  • Skilled Nursing Facility
  • Grand Saline, TX
  • NPI 1518763317

  Graf Holdings LLC

  CMS ownership
• 520 Bradburn Road Opco LLC

  dba Avir at Bradburn

  • Skilled Nursing Facility
  • Grand Saline, TX
  • NPI 1427854223

  Graf Holdings LLC

  CMS ownership
• 619 N Britain Road Opco LLC

  dba Avir at Irving

  • Skilled Nursing Facility
  • Irving, TX
  • NPI 1356147151

  Graf Holdings LLC

  CMS ownership
• 821 US Highway 81 W Opco LLC

  dba Avir at New Braunfels

  • Skilled Nursing Facility
  • New Braunfels, TX
  • NPI 1356229868

  Graf Holdings LLC

  CMS ownership

Affiliated clinicians 1

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

• Stefan Samuel Mann, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1356847388

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1851073340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 PHILLIPS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085304",
            "telephone_number": "850-942-9868",
            "fax_number": "850-942-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 PHILLIPS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085304",
            "telephone_number": "850-942-9868",
            "fax_number": "850-942-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS STREET OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-730-7480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Consulate Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aviata at the Gardens - Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philbert J. Ford, M.D., PA
• Matthew Philbrick
• Philip Mandracchia DDS and Associates
• Troy Adrians Philips
• Slanda Philistin
• Brandon Todd Phillips, MHSC, CAA
• Carswella Odessa Phillips, ARNP
• Johnathan Phillips
• Kadrian Phillips
• Kendra Phillips, PHARMD

• Skilled Nursing Facility in Tallahassee, FL
• Providers in Tallahassee, 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 Apr 9, 2025; 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.