Active NPI
Egret Cove Rehabilitation Center, LLC
- Skilled Nursing Facility
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF11010961
- Legal business name
- EGRET COVE REHABILITATION CENTER, LLC
- Practice address
- 550 62ND St S
Saint Petersburg, FL 33707-1533 - Phone
- (727) 347-6151
- Fax
- (727) 347-5683
- NPI assigned
- Jun 9, 2005
- Organization subpart
- Yes
- Parent organization
- HEARTHSTONE SENIOR COMMUNITIES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard Jaffe
- Title
- President
- Phone
- (215) 346-6454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF11010961 | FL | Primary |
Addresses
Primary practice location
550 62ND St S
Saint Petersburg, FL 33707-1533
Mailing address
1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 223-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013334800 | Medicaid | FL |
Other names 1
- Egret Cove Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140421001371 | FL | Part A Provider - Skilled Nursing Facility | 6204068588 | Practice locations: St Petersburg, FL |
Skilled nursing facility certification: CCN 105293
- Legal name
- EGRET COVE REHABILITATION CENTER LLC
- Doing business as
- EGRET COVE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1976
- Last certification
- May 16, 2024
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Hearthstone Senior Community
- Organization structure
- LLC
- Incorporated
- Sep 18, 2008 in FL
- Enrollment address
- 550 62ND Street South
St Petersburg, FL 33707-3213 - Nursing home name
- EGRET COVE CENTER
- Affiliated entity
- HEARTHSTONE SENIOR COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Egret Cove Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 1976
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Hearthstone Senior Communities
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Part of
- Hearthstone Senior Communities Inc
Locations
515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hearthstone Senior Communities, Inc. | 5% Or Greater Indirect Ownership Interest | Apr 1, 2009 | 100% |
| Adp of the SNF | Apr 8, 2025 | ||
| Alvin Garner | Corporate Officer | Apr 1, 2009 | |
| Lori Rombold | Corporate Officer | Apr 1, 2009 | |
| Omega Healthcare Investors, Inc | Adp of the SNF | Aug 1, 2003 | |
| Howard Jaffe | Corporate Officer | Apr 1, 2009 | |
| Select Rehabilitation, LLC | Adp of the SNF | Aug 19, 2016 | |
| Themis Health Management, LLC | Operational/Managerial Control | Sep 1, 2009 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Consulting Support Services, LLC | Operational/Managerial Control | Jun 28, 2011 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Egret Cove Rehabilitation Center LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2009 | |
| Facility Support Company, LLC | Operational/Managerial Control | Dec 13, 2010 | |
| Adp of the SNF | Mar 19, 2025 | ||
| Brenda Davis Everett | Operational/Managerial Control | Jan 4, 2022 | |
| Adp of the SNF | Jan 4, 2022 | ||
| Kane Financial Services, LLC | Operational/Managerial Control | Jun 6, 2012 | |
| Adp of the SNF | Mar 19, 2025 | ||
| Bethany Beebe | Operational/Managerial Control | Feb 8, 2021 | |
| Adp of the SNF | Feb 8, 2021 | ||
| Brian Wyatt | Corporate Officer | Apr 1, 2009 |
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Practitioners & affiliated clinicians
Affiliated clinicians 6
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": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1851395677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 PALM BEACH LAKES BLVD STE 400",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012108",
"telephone_number": "561-223-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 62ND ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337071533",
"telephone_number": "727-347-6151",
"fax_number": "727-347-5683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EGRET COVE REHABILITATION CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEARTHSTONE SENIOR COMMUNITIES, INC",
"enumeration_date": "2005-06-09",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "JAFFE",
"authorized_official_first_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-346-6454"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF11010961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013334800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Egret Cove Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.