NPIMap

Organization Active NPI

Parkview Rehabilitation Center at Winter Park LLC

  • Skilled Nursing Facility
  • Winter Park, FL
National Provider Identifier
1881189884
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKVIEW REHABILITATION CENTER AT WINTER PARK LLC
Practice address
2075 Loch Lomond Dr
Winter Park, FL 32792-4183
Phone
(407) 628-5418
NPI assigned
Jun 22, 2018
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SOVEREIGN HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Mr. Don Melton
Title
Cfo
Phone
(407) 830-5309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2075 Loch Lomond Dr
Winter Park, FL 32792-4183

Mailing address

101 Sunnytown Rd Ste 201
Casselberry, FL 32707-3862
Phone (407) 830-5309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180822001186 FL Part A Provider - Skilled Nursing Facility 6406105535 Practice locations: Winter Park, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881189884. Details of each certification follow.

Skilled nursing facility certification: CCN 105307

Legal name
PARKVIEW REHABILITATION CENTER AT WINTER PARK LLC
Doing business as
PARKVIEW REHABILITATION CENTER AT WINTER PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
Feb 6, 2025
Beds
138
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sovergn Healthcare Holdings
Organization structure
LLCProprietary
Incorporated
May 4, 2018 in FL
Enrollment address
2075 Loch Lomond Dr
Winter Park, FL 32792-4183
Nursing home name
PARKVIEW REHABILITATION CENTER AT WINTER PARK
Affiliated entity
SOVEREIGN HEALTHCARE HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkview Rehabilitation Center at Winter ParkCCN 105307 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138109.8 residents per day on average
Chain
Sovereign Healthcare Holdings43 facilities in the chain

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
10D0681612Parkview Rehabilitation Center at Winter Park2075 Loch Lomond Dr, Winter Park, FL 32792Certificate 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 Máximo (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 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Kaar Individual Managing Control - Governing BodyVice President of Compliance and QM Oct 1, 2003
Adp of the SNF Oct 1, 2003
George Hanley Individual Operational/Managerial Control Nov 25, 2024
Adp of the SNF Nov 25, 2024
Sovereign Healthcare Disbursements LLC Organization, Casselberry, FL LLC Adp of the SNF Sep 18, 2018
Henry Gerrity Individual Managing Control - Governing BodyVice President of Operations Sep 18, 2018
Adp of the SNF Sep 18, 2018
John Mangine Individual Operational/Managerial Control Sep 18, 2018
Adp of the SNF Sep 18, 2018
Indirect Ownership Interest Jun 25, 2012 3%
Southern Healthcare Management LLC Organization, Casselberry, FL LLC, Management services company, For-profit Operational/Managerial Control Sep 18, 2018 100%
Adp of the SNF Jan 14, 2026
Akila Balasubramanian Individual Operational/Managerial Control Oct 14, 2023
Adp of the SNF Oct 14, 2023
Michelle Kelly Individual Adp of the SNF Feb 1, 2018
Donald K Melton Individual Operational/Managerial Control Feb 15, 2009
Adp of the SNF Feb 1, 2018
William Notermann Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Sovereign Healthcare Holdings LLC Organization, Atlanta, GA LLC, For-profit, Chain home office, Owned by another organization or individual Direct Ownership Interest Sep 18, 2018 100%
2075 Winter Park, LLC Organization, Miami, FL LLC, Owned by another organization or individual 5% Or Greater Security Interest Sep 18, 2018 100%
Adp of the SNF Sep 18, 2018
Berkadia Commercial Mortgage LLC Organization, Horsham, PA Financial institution 5% Or Greater Security Interest Sep 18, 2018 100%
Royce M Cronquist Individual Operational/Managerial Control Sep 18, 2018
Adp of the SNF Feb 1, 2018
John J Notermann Business TR Organization, Atlanta, GA For-profit Indirect Ownership Interest Sep 18, 2018 82.5%
Forvis Mazars LLP Organization, Springfield, MO Adp of the SNF Jan 1, 2025
Dawn Chery Individual Managing Control - Governing BodyChief Nursing Officer Sep 18, 2018
Adp of the SNF Sep 18, 2018
Health Services Properties LLC Organization, Casselberry, FL LLC, Owned by another organization or individual 5% Or Greater Security Interest Sep 18, 2018 100%
Adp of the SNF Jan 14, 2026
Cronquist 2015 Family TR Organization, Atlanta, GA For-profit Indirect Ownership Interest Sep 18, 2018 14.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 41

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

View all 41

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1881189884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUNNYTOWN RD STE 201",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073862",
            "telephone_number": "407-830-5309",
            "fax_number": "407-830-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 LOCH LOMOND DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924183",
            "telephone_number": "407-628-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW REHABILITATION CENTER AT WINTER PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOVEREIGN HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-830-5309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.