Active NPI
Senior Health-Concordia, LLC
Doing business as Concordia Manor
- Skilled Nursing Facility
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025166600 | Medicaid | FL |
Other names 1
- Concordia Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1991
- Medicare certification status
- Active
- Certified beds
- 39
- Chain
- Senior Health South
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
1665 Palm Beach Lakes Blvd
Ste 600
West Palm Beach, FL 33401
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Angelique Ames | Operational/Managerial Control | Jan 15, 2018 | |
| Adp of the SNF | Jan 15, 2018 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Adp of the SNF | Aug 19, 2016 | ||
| Adp of the SNF | Feb 23, 2013 | ||
| Rich Depiano | Corporate Officer | Jan 1, 2012 | |
| Senior Health South Ex LLC | 5% Or Greater Indirect Ownership Interest | Nov 20, 2000 | 100% |
| Adp of the SNF | May 5, 2025 | ||
| Howard Jaffe | Operational/Managerial Control | Jan 1, 2012 | |
| Managing Control - Governing Body | Jan 1, 2012 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Penny Richmond | Corporate Officer | Jan 1, 2012 | |
| Adp of the SNF | Jul 1, 2003 | ||
| Marcia Jackson | Operational/Managerial Control | Feb 3, 2017 | |
| Adp of the SNF | Feb 3, 2017 | ||
| Adp of the SNF | Aug 19, 2016 | ||
| Omega Healthcare Investors, Inc | 5% Or Greater Security Interest | Sep 1, 2005 | 100% |
| Adp of the SNF | Jul 1, 2003 | ||
| Adp of the SNF | Aug 19, 2016 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Consulting Support Services, LLC | Operational/Managerial Control | Jun 28, 2011 | |
| Adp of the SNF | Mar 25, 2025 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Eleus Health Management LLC | Operational/Managerial Control | Sep 1, 2009 | |
| Adp of the SNF | May 5, 2025 | ||
| Adp of the SNF | Jul 30, 2012 | ||
| Facility Support Company, LLC | Operational/Managerial Control | Dec 13, 2010 | |
| Adp of the SNF | Mar 21, 2025 | ||
| Ann Mullen | Corporate Officer | Jan 1, 2012 | |
| Adp of the SNF | Jul 1, 2003 | ||
| Kane Financial Services, LLC | Operational/Managerial Control | Jun 6, 2012 | |
| Adp of the SNF | Oct 28, 2025 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Select Rehabilitation, LLC | Adp of the SNF | Aug 19, 2016 | |
| Adp of the SNF | Jul 12, 2016 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Senior Health Properties South, Inc | 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.
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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
- Robin Robin Semwayo
- Sonia Sen
- Madison Grace Senecal
- Senior Care Golfview LLC (Golfview Healthcare Center)
- Senior Health-Alpine, LLC (Alpine Health and Rehabilitation Center)
- Senior Health-South Heritage, LLC (South Heritage Health and Rehabilitation Center)
- Senior Living I, LLC (Inspired Living at Ivy Ridge)
- Loretta Susan Sens, RT,RDMS,RDCS,RVT,BA
- Sensible Health Care Solutions LLC
- Sentry Psychological Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.