2599 NW 55TH Avenue Operations, LLC
Organization Active NPI Skilled Nursing Facility · Lauderhill, FL
NPI 1902390727 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1902390727
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 2599 NW 55TH AVENUE OPERATIONS, LLC
- Practice address
- 2599 NW 55TH Ave
Lauderhill, FL 33313 - Phone
- (407) 571-1550
- NPI assigned
- Jun 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Miriam C. Pastor
- Title
- Manager
- Phone
- (813) 769-6280
Owners & managing parties with NPI records 1
-
Regina B Portnova, M.D.
Facilities with the same owner 5
Affiliated clinicians 2
-
Regina B Portnova, M.D.
-
Esther Vildor-Dazil, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Nspire Healthcare Lauderhill
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 27, 1989
- Medicare certification status
- Active
- Certified beds
- 109 · 100.0 residents per day on average
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0284991 | Nspire Healthcare Lauderhill | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Skilled nursing facility certification: CCN 105680
- Legal name
- 2599 NW 55TH AVENUE OPERATIONS, LLC
- Doing business as
- NSPIRE HEALTHCARE LAUDERHILL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 27, 1989
- Last certification
- Sep 12, 2024
- Beds
- 109
- Ownership / control type
- Corporation
- Multi-facility organization
- Nspire Healthcare Organization
- Organization structure
- LLC
- Incorporated
- May 17, 2018 in FL
- Enrollment address
- 2599 NW 55TH Ave
Lauderhill, FL 33313-2443 - Nursing home name
- NSPIRE HEALTHCARE LAUDERHILL
- Affiliated entity
- CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| LV Investment LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| NSPR Operations II, LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| Nsprmc, LLC |
Operational/Managerial Control | Sep 19, 2018 | |
| Adp of the SNF | Mar 24, 2026 | ||
| Bradley Lee |
Operational/Managerial Control | Dec 10, 2024 | |
| Managing Control - Governing Body | Dec 10, 2024 | ||
| Adp of the SNF | Dec 10, 2024 | ||
| FC Investors Xxi LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| Regina B Portnova |
Operational/Managerial Control | Sep 19, 2018 | |
| Adp of the SNF | Sep 19, 2018 | ||
| MLNM Master Tenant, LLC |
Direct Ownership Interest | Sep 19, 2018 | 100% |
| NSPR Care Centers, LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| NSPR Operations I, LLC |
Indirect Ownership Interest | Sep 19, 2018 | 100% |
| Oyedepo a Oyetoro |
Operational/Managerial Control | Jun 10, 2021 | |
| Adp of the SNF | Jun 10, 2021 | ||
| Lavie Holdco LLC |
Indirect Ownership Interest | Dec 1, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180920002003 | FL | Part a Provider - Skilled Nursing Facility | 4082965686 | Practice locations: Lauderhill, FL |
National Provider Directory
Networks
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2599 NW 55TH Ave
Lauderhill, FL 33313
Mailing address
2599 NW 55TH Ave
Lauderhill, FL 33313-2443
Phone (954) 485-8873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100296900 | Medicaid | FL |
Other names
- Nspire Healthcare Lauderhill
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other |
NPI Registry JSON
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1902390727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2599 NW 55TH AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333132443",
"telephone_number": "954-485-8873",
"fax_number": "954-484-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2599 NW 55TH AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "33313",
"telephone_number": "407-571-1550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "2599 NW 55TH AVENUE OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-15",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "PASTOR",
"authorized_official_first_name": "MIRIAM",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-769-6280"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100296900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "800 Concourse Pkwy S Ste 200",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327516148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Nspire Healthcare Lauderhill",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.