Havens SNF Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAVENS SNF OPERATOR LLC

Doing business as

Havens at Pensacola

Practice address

1900 Summit Blvd
Pensacola, FL 32503-3359

Phone

(850) 436-5900

NPI assigned

Apr 1, 2024

Last updated

May 15, 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

Mr. Shmuel Zytman

Title

Managing Partner

Phone

(917) 858-9016

Specialties & licenses 1

Addresses

Other names 1

• HAVENS AT PENSACOLA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851142392. Details of each certification follow.

• CCN 106052 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 106052

Legal name

HAVENS SNF OPERATOR LLC

Doing business as

THE HAVENS AT PENSACOLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2003

Last certification

Mar 6, 2025

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1900 Summit Blvd
Pensacola, FL 32503-3359

Nursing home name

HAVENS AT PENSACOLA, THE

Listed as

Havens at Pensacola, theCCN 106052 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120110.7 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 30

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.

• Dennis Mayeaux, M.D.

  • Family Medicine Physician
  • Milton, FL
  • NPI 1528079340

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 17

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

  CMS ownership
• Normandy Opco LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1942932520

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

  CMS ownership
• Orange Park Opco LLC

  • Skilled Nursing Facility
  • Orange Park, FL
  • NPI 1841923265

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

  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

  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 2

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

• Tien My Tran, MD

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1538725171

  Nursing home

  Care Compare affiliation
• Hima Reddy Devarapalli, MD

  • Hospitalist Physician
  • Mobile, AL
  • NPI 1003487521

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1851142392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CEDARBRIDGE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014234",
            "telephone_number": "732-200-1008",
            "fax_number": "732-201-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033359",
            "telephone_number": "850-436-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENS SNF OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "ZYTMAN",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-858-9016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAVENS AT PENSACOLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda K Hatler, PH.D., PA-C
• Desiree Hatten, LMHC
• Benjamin James Havard, MD
• Haven Health Consulting LLC
• Haven of Our Lady of Peace, Inc.
• Jaclyn Havinga, MD
• Skylar Hawley
• Karen H Haworth, LCSW
• Richard Dawson Hawthorne, D.O.
• Serda C Hawthorne, MD

• Skilled Nursing Facility in Pensacola, FL
• Providers in Pensacola, 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 May 15, 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.