NPIMap

Organization Active NPI

Vista Manor Operating LLC

Doing business as Vista Manor Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Titusville, FL
National Provider Identifier
1932982907
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VISTA MANOR OPERATING LLC
Doing business as
Vista Manor Healthcare and Rehabilitation Center
Practice address
1550 Jess Parrish CT
Titusville, FL 32796-2147
Phone
(321) 269-2200
NPI assigned
Aug 15, 2023
Last updated
Nov 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Authorized official

Name
Jacob Zahler
Title
Member
Phone
(845) 320-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1550 Jess Parrish CT
Titusville, FL 32796-2147

Mailing address

974 Route 45 Ste 1200
Pomona, NY 10970-3568
Phone (845) 320-2004

Other names 1

  • VISTA MANOR HEALTHCARE AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208003521 FL Part A Provider - Skilled Nursing Facility 6709229537 Practice locations: Titusville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932982907. Details of each certification follow.

Skilled nursing facility certification: CCN 105530

Legal name
VISTA MANOR OPERATING LLC
Doing business as
VISTA MANOR HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 16, 1985
Last certification
May 16, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Excelsior Care Group
Organization structure
LLCProprietary
Incorporated
Mar 16, 2023 in DE
Enrollment address
1550 Jess Parrish CT
Titusville, FL 32796-2147
Nursing home name
VISTA MANOR HEALTHCARE AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vista Manor Healthcare and Rehabilitation CenterCCN 105530 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 16, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.8 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $13,335

Processed by Care Compare on Aug 1, 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 9

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

NameRoleSinceShare
Debra Wallace Individual Operational/Managerial Control Dec 9, 2021
Adp of the SNF Dec 9, 2021
Leah Friedman Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Charles Zahler Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Yocheved Miller Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Rochel David Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Vista Manor Holdco LLC Organization, Monsey, NY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 5, 2023 100%
FDZ Consulting LLC Organization, Monsey, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 95%
Robin Bhasin Individual Operational/Managerial Control Jul 21, 2022
Adp of the SNF Jul 21, 2022
Jacob J Zahler Individual 5% Or Greater Indirect Ownership Interest Sep 5, 2023 23%
Corporate OfficerCeo Sep 5, 2023 100%

Owners & managing parties with NPI records 1

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

  • Robin Bhasin
    • Geriatric Medicine (Internal Medicine) Physician
    • Winter Park, FL
    • NPI 1841502333

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 9

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

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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763856000000",
    "number": "1932982907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45 STE 1200",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703568",
            "telephone_number": "845-320-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962147",
            "telephone_number": "321-269-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MANOR OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "ZAHLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-320-2004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA MANOR HEALTHCARE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.