Organization Active NPI

Senior Health-Concordia, LLC

Doing business as Concordia Manor

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1962406652
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF Issued in FL
Legal business name
SENIOR HEALTH-CONCORDIA, LLC
Doing business as
Concordia Manor
Practice address
321 13TH Ave N
St Petersburg, FL 33701-1123
Phone
(727) 822-3030
Fax
(727) 823-3522
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Howard Jaffe
Title
President
Phone
(215) 346-6454

Specialties & licenses 1

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

Addresses

Primary practice location

321 13TH Ave N
St Petersburg, FL 33701-1123

Mailing address

1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 801-7600

Other identifiers 1

IdentifierTypeStateIssuer
025166600MedicaidFL

Other names 1

  • Concordia Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000196 FL Part A Provider - Skilled Nursing Facility 4789765363 Practice locations: St Petersburg, FL

Skilled nursing facility certification: CCN 105714

Legal name
SENIOR HEALTH-CONCORDIA, LLC
Doing business as
CONCORDIA MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1991
Last certification
May 9, 2024
Beds
39
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Senior Heath Properties Sounth
Organization structure
LLCNon-profit
Incorporated
Jan 1, 2001 in CA
Enrollment address
321 13TH Avenue South
St Petersburg, FL 33701-1199
Nursing home name
CONCORDIA MANOR
Affiliated entity
SENIOR HEALTH SOUTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Concordia ManorCCN 105714 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3934.0 residents per day on average
Chain
Senior Health South8 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $97,747

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1665 Palm Beach Lakes Blvd
Ste 600
West Palm Beach, FL 33401

Networks

  • 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)
  • 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 Maximo (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)…

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Angelique Ames Individual Operational/Managerial Control Jan 15, 2018
Adp of the SNF Jan 15, 2018
Individual Adp of the SNF Jul 1, 2003
Individual Adp of the SNF Aug 19, 2016
Individual Adp of the SNF Feb 23, 2013
Rich Depiano Individual Corporate OfficerBoard Member Jan 1, 2012
Senior Health South Ex LLC Organization, West Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 20, 2000 100%
Adp of the SNF May 5, 2025
Howard Jaffe Individual Operational/Managerial Control Jan 1, 2012
Managing Control - Governing BodyChaiman of the Board Jan 1, 2012
Individual Adp of the SNF Jul 1, 2003
Penny Richmond Individual Corporate OfficerBoard Member Jan 1, 2012
Individual Adp of the SNF Jul 1, 2003
Marcia Jackson Individual Operational/Managerial Control Feb 3, 2017
Adp of the SNF Feb 3, 2017
Individual Adp of the SNF Aug 19, 2016
Omega Healthcare Investors, Inc Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Sep 1, 2005 100%
Adp of the SNF Jul 1, 2003
Individual Adp of the SNF Aug 19, 2016
Individual Adp of the SNF Jul 1, 2003
Consulting Support Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 28, 2011
Adp of the SNF Mar 25, 2025
Individual Adp of the SNF Jul 1, 2003
Eleus Health Management LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Sep 1, 2009
Adp of the SNF May 5, 2025
Individual Adp of the SNF Jul 30, 2012
Facility Support Company, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Dec 13, 2010
Adp of the SNF Mar 21, 2025
Ann Mullen Individual Corporate OfficerBoard Member Jan 1, 2012
Individual Adp of the SNF Jul 1, 2003
Kane Financial Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 6, 2012
Adp of the SNF Oct 28, 2025
Individual Adp of the SNF Jul 1, 2003
Select Rehabilitation, LLC Organization, Glenview, IL LLC Adp of the SNF Aug 19, 2016
Individual Adp of the SNF Jul 12, 2016
Individual Adp of the SNF Jul 1, 2003
Senior Health Properties South, Inc Organization, West Palm Beach, FL Corporation 5% Or Greater Direct Ownership Interest Nov 30, 2000 100%

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 36

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

View all 36

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1962406652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012108",
            "telephone_number": "561-801-7600",
            "fax_number": "727-823-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 13TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011123",
            "telephone_number": "727-822-3030",
            "fax_number": "727-823-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH-CONCORDIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025166600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.