NPIMap

Organization Active NPI

Normandy Opco LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
National Provider Identifier
1942932520
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORMANDY OPCO LLC
Practice address
8495 Normandy Blvd
Jacksonville, FL 32221-6701
Phone
(904) 783-3749
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Josef Cukier
Title
Manager
Phone
(732) 895-2771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

8495 Normandy Blvd
Jacksonville, FL 32221-6701

Mailing address

8495 Normandy Blvd
Jacksonville, FL 32221-6701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221115003553 FL Part A Provider - Skilled Nursing Facility 5294103685 Practice locations: Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942932520. Details of each certification follow.

Skilled nursing facility certification: CCN 105684

Legal name
NORMANDY OPCO LLC
Doing business as
VIVO HEALTHCARE NORMANDY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 12, 1990
Last certification
Jan 11, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vivo Healthcare
Organization structure
LLCProprietary
Incorporated
Jun 28, 2022 in FL
Enrollment address
8495 Normandy Blvd
Jacksonville, FL 32221-6701
Nursing home name
VIVO HEALTHCARE NORMANDY
Affiliated entity
VIVO HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vivo Healthcare NormandyCCN 105684 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 12, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.0 residents per day on average
Chain
Vivo Healthcare12 facilities in the chain

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
10D0717525Normandy Opco LLC8495 Normandy Blvd, Jacksonville, FL 32221Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
NMJ Irrv TR II Organization, Surfside, FL 5% Or Greater Indirect Ownership Interest Sep 9, 2022 12.5%
Vivo Healthcare Consulting LLC Organization, Lakewood, NJ LLC Adp of the SNF Sep 9, 2022
Benjamin Gluck Individual 5% Or Greater Indirect Ownership Interest Sep 9, 2022 5%
Josef Cukier Individual 5% Or Greater Indirect Ownership Interest Sep 9, 2022 10%
Corporate OfficerCeo Sep 9, 2022
Judah Jacobowitz Individual 5% Or Greater Indirect Ownership Interest Sep 9, 2022 5%
NMJ Holdings LLC Organization, Baltimore, MD Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 9, 2022 12.5%
Jacksonville 3 Normandy Opco Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 9, 2022 100%
Normandy Propco LLC Organization, Jacksonville, FL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 9, 2022 100%
Adp of the SNF Sep 9, 2022
Ab Marbec Realty Group Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 9, 2022 8.8%
Brocha Cukier Individual 5% Or Greater Indirect Ownership Interest Sep 9, 2022 10%
Jek Holdings LLC Organization, Silver Spring, MD LLC, Holding company Adp of the SNF Sep 9, 2022
Jek Irrv TR II Organization, Silver Spring, MD 5% Or Greater Indirect Ownership Interest Sep 9, 2022 12.5%
Summation Financial Services LLC Organization, Valley Stream, NY LLC Adp of the SNF Sep 9, 2022
Forvis Mazars LLP Organization, Fort Lauderdale, FL Adp of the SNF Sep 9, 2022
Pease Bell Cpas LLC Organization, Cleveland, OH LLC Adp of the SNF Sep 9, 2022
Jack Mabry III Individual Adp of the SNF Oct 25, 2022
Shalom Friedland Individual Operational/Managerial Control Sep 9, 2022
Adp of the SNF Sep 9, 2022
Dalia Elramady Individual Adp of the SNF Sep 9, 2022
Jacksonville 3 Propco Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 9, 2022 100%
Adp of the SNF Sep 9, 2022
SF Irrevocable Trust Organization, Baltimore, MD Created for acquisition 5% Or Greater Indirect Ownership Interest Sep 9, 2022 10%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1942932520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322216701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322216701",
            "telephone_number": "904-783-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "CUKIER",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-895-2771"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.