Active NPI
Gateway FL Opco LLC
- Skilled Nursing Facility
- Pinellas Park, FL
National Provider Identifier
1871242859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GATEWAY FL OPCO LLC
- Practice address
- 8600 US Highway 19 N
Pinellas Park, FL 33782-5804 - Phone
- (727) 541-7515
- NPI assigned
- Mar 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Herskowitz
- Title
- Cfo
- Phone
- (212) 444-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8600 US Highway 19 N
Pinellas Park, FL 33782-5804
Mailing address
23645 Mercantile Rd Ste J
Beachwood, OH 44122-5936
Phone (212) 444-1991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220504000447 | FL | Part A Provider - Skilled Nursing Facility | 7618364084 | Practice locations: Pinellas Park, FL |
Skilled nursing facility certification: CCN 105486
- Legal name
- GATEWAY FL OPCO LLC
- Doing business as
- GATEWAY POST-ACUTE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 21, 1984
- Last certification
- Mar 21, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- May 1, 2022
- Organization structure
- LLC
- Enrollment address
- 8600 US Highway 19 N
Pinellas Park, FL 33782-5804
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vivo Healthcare Gateway
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 21, 1984
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Adp of the SNF | Jun 19, 2025 | ||
| David Herskowitz | 5% Or Greater Indirect Ownership Interest | May 1, 2022 | 20% |
| Operational/Managerial Control | May 1, 2022 | ||
| Adp of the SNF | May 1, 2022 | ||
| Indirect Ownership Interest | May 1, 2022 | 20% | |
| Adp of the SNF | Jun 19, 2025 | ||
| Dylan Dinesh | Operational/Managerial Control | Mar 6, 2025 | |
| Adp of the SNF | Mar 6, 2025 | ||
| Isaac Moskowitz | Indirect Ownership Interest | May 1, 2022 | 39% |
| Jeffrey Arem | Indirect Ownership Interest | May 1, 2022 | 39% |
| Jemilatu M Awini | Operational/Managerial Control | Apr 12, 2023 | |
| Adp of the SNF | Apr 12, 2023 | ||
| Tampa 5 FL Holdco LLC | 5% Or Greater Direct Ownership Interest | May 1, 2022 | 100% |
| David Rubenstein | Indirect Ownership Interest | May 1, 2022 | 2% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Saint Petersburg, FL
- NPI 1962996231
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1647561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1871242859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23645 MERCANTILE RD STE J",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225936",
"telephone_number": "212-444-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 US HIGHWAY 19 N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825804",
"telephone_number": "727-541-7515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY FL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-18",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "HERSKOWITZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "212-444-1991"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.