Active NPI
Pinellas Park FL Opco LLC
- Skilled Nursing Facility
- Pinellas Park, FL
National Provider Identifier
1891444865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PINELLAS PARK FL OPCO LLC
- Practice address
- 8701 49TH St N
Pinellas Park, FL 33782-5331 - Phone
- (727) 546-4661
- 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
- Chief of Staff
- Phone
- (212) 444-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8701 49TH St N
Pinellas Park, FL 33782-5331
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 |
|---|---|---|---|---|
| O20220503002627 | FL | Part A Provider - Skilled Nursing Facility | 8325435779 | Practice locations: Pinellas Park, FL |
Skilled nursing facility certification: CCN 105422
- Legal name
- PINELLAS PARK FL OPCO LLC
- Doing business as
- PINELLAS POST ACUTE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 22, 1982
- Last certification
- Dec 14, 2023
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Vivo Healthcare
- Most recent change of ownership
- May 1, 2022
- Organization structure
- LLC
- Enrollment address
- 8701 49TH St N
Pinellas Park, FL 33782-5331
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pinellas Park FL Opco, LLC
- Overall star rating
- Health inspections
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 22, 1982
- Medicare certification status
- Active
- Certified beds
- 120
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| David Herskowitz | Operational/Managerial Control | May 1, 2022 | |
| Adp of the SNF | May 1, 2022 | ||
| Indirect Ownership Interest | May 1, 2022 | 20% | |
| Isaac Moskowitz | Indirect Ownership Interest | May 1, 2022 | 39% |
| Jeffrey Arem | Indirect Ownership Interest | May 1, 2022 | 39% |
| Lore S. Vincent | Adp of the SNF | Jan 30, 2025 | |
| Priyadarshini G Rao | Adp of the SNF | Apr 1, 2024 | |
| Tampa 5 FL Holdco LLC | 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.
-
- Internal Medicine Physician
- Largo, FL
- NPI 1396914297
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1684195200000",
"number": "1891444865",
"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": "8701 49TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825331",
"telephone_number": "727-546-4661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINELLAS PARK FL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-18",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "HERSKOWITZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"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 May 16, 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.