NPIMap

Organization Active NPI

Villa Maria Nursing & Rehabilitation Center

Doing business as Villa Maria West Skilled Nursing Facility

  • Skilled Nursing Facility
  • Hialeah Gardens, FL
National Provider Identifier
1912166091
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130471041 Issued in FL
Legal business name
VILLA MARIA NURSING & REHABILITATION CENTER
Doing business as
Villa Maria West Skilled Nursing Facility
Practice address
8850 NW 122ND St
Hialeah Gardens, FL 33018-1748
Phone
(305) 731-5181
NPI assigned
Jun 4, 2008
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Mary Jo Frick
Title
President and Ceo
Phone
(954) 484-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF130471041 FL Primary

Addresses

Primary practice location

8850 NW 122ND St
Hialeah Gardens, FL 33018-1748

Mailing address

4790 N State Road 7
Lauderdale Lakes, FL 33319-5860
Phone (954) 484-1515

Other names 1

  • Villa Maria West Skilled Nursing Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000217 FL Part A Provider - Skilled Nursing Facility 2860483294 Practice locations: Hialeah Gardens, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912166091. Details of each certification follow.

Skilled nursing facility certification: CCN 106080

Legal name
VILLA MARIA NURSING & REHABILITATION CENTER
Doing business as
VILLA MARIA WEST SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 9, 2009
Last certification
May 15, 2024
Beds
27
Ownership / control type
Church Related
Organization structure
OtherNon-profit
Incorporated
Feb 18, 1966 in FL
Enrollment address
8850 NW 122ND Street
Hialeah Gardens, FL 33018-1748
Nursing home name
VILLA MARIA WEST SKILLED NURSING FACILITY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa Maria West Skilled Nursing FacilityCCN 106080 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Church related
Certified
Feb 9, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2723.9 residents per day on average

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
10D1091746Villa Maria West Skilled Nursing Facility8850 NW 122ND St, Hialeah Gardens, FL 33018Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Villa Maria Nursing Rehabilitation Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans 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.

NameRoleSinceShare
Catholic Health Services Inc Organization, Lauderdale Lakes, FL Operational/Managerial Control May 1, 2009
Laura Wilson Individual Corporate OfficerChief Financial Officer Jan 1, 2024
Archdiocese of Miami Inc Organization, Miami Shores, FL 5% Or Greater Indirect Ownership Interest May 1, 2009 100%
Villa Maria Nursing & Rehabilitation Center Organization, North Miami, FL Corporation 5% Or Greater Direct Ownership Interest May 1, 2009 100%
Mary Frick Individual Corporate OfficerPresident & Ceo Apr 1, 2024
Jose J Contreras Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jul 16, 2025
Nathaniel Johnson Individual Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jul 16, 2025

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Catherine's Rehabilitation HospitalNorth Miami, FL, CCN 103026 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 18, 1966
Villa Maria Nursing CenterNorth Miami, FL, CCN 105232 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 31, 1995

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1912166091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195860",
            "telephone_number": "954-484-1515",
            "fax_number": "954-484-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 NW 122ND ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181748",
            "telephone_number": "305-731-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "954-484-1515"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130471041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria West Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Maria West Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.