Evans Avenue Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EVANS AVENUE OPCO LLC

Doing business as

Aviata at Evans

Practice address

3735 Evans Ave
Fort Myers, FL 33901-9302

Phone

(239) 277-3977

Fax

(239) 277-1955

NPI assigned

Aug 1, 2023

Last updated

Apr 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Freund

Title

Manager

Phone

(732) 730-7480

Specialties & licenses 1

Addresses

Other names 1

• Aviata at Evans Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912689951. Details of each certification follow.

• CCN 106000 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 106000

Legal name

EVANS AVENUE OPCO LLC

Doing business as

AVIATA ON EVANS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 14, 1998

Last certification

Aug 21, 2024

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Aspire Health Group

Organization structure

LLCProprietary

Incorporated

Jul 26, 2023 in FL

Enrollment address

3735 Evans Ave
Fort Myers, FL 33901-9302

Nursing home name

ASPIRE AT EVANS

Affiliated entity

AVIATA HEALTH GROUP

Listed as

Aspire at EvansCCN 106000 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 14, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120111.1 residents per day on average

Chain

Aviata Health Group50 facilities in the chain

Penalties (3 years)

4Fines totaling $50,028

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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)

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.

Owners & managing parties with NPI records 1

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

• Sajid Wazir Sipra, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1801040829

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Luis A Aponte, M.D.

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1790818607

  Nursing home

  Care Compare affiliation
• Clodualdo D Gamez, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1568432292

  Nursing home

  Care Compare affiliation
• Sumeet Shetty, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1245319391

  Nursing home

  Care Compare affiliation
• Tarik Afnoukh, M.D

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1538695705

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1912689951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-277-3977",
            "fax_number": "239-277-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-277-3977",
            "fax_number": "239-277-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS AVENUE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-730-7480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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",
            "affiliationName": "Consulate Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aviata at Evans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugene a Batelli DPM LLC
• Eugene Usberghi, Jr., D.O.
• Ev Rider, LLC
• Eliza Lynn Evangelista
• Evans Avenue Health Care Clinic, Inc
• Evans Chiropractic LLC
• Evans Health Care Associates LLC (Evans Health Care)
• D Amanda Evans, LCSW
• Tinikki Shunta Evans
• Sandra Lee Eveleth, O.D.

• Skilled Nursing Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.