Active NPI
Citrus Nursing Center LLC
- Skilled Nursing Facility
- Inverness, FL
National Provider Identifier
1962895086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1620096
- Legal business name
- CITRUS NURSING CENTER LLC
- Practice address
- 701 Medical CT E
Inverness, FL 34452-4616 - Phone
- (352) 860-0200
- NPI assigned
- Mar 13, 2015
- 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
- Alex Amselem
- Title
- Authorized Representative
- Phone
- (305) 968-1227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1620096 | FL | Primary |
Addresses
Primary practice location
701 Medical CT E
Inverness, FL 34452-4616
Mailing address
398 E Dania Beach Blvd # 306
Dania Beach, FL 33004-3051
Other names 1
- Citrus Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150617000349 | FL | Part A Provider - Skilled Nursing Facility | 6901117068 | Practice locations: Inverness, FL |
Skilled nursing facility certification: CCN 105858
- Legal name
- CITRUS NURSING CENTER LLC
- Doing business as
- CITRUS HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 29, 1994
- Last certification
- May 15, 2025
- Beds
- 111
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- May 1, 2015
- Organization structure
- LLC
- Incorporated
- Feb 16, 2015 in FL
- Enrollment address
- 701 Medical Court East
Inverness, FL 34452-4616 - Nursing home name
- CITRUS HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Citrus Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 29, 1994
- Medicare certification status
- Active
- Certified beds
- 111
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1019314 | Citrus Nursing Center LLC | Certificate of waiver | Nov 16, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Alexander Dimenna | W-2 Managing Employee | Jan 1, 2022 | |
| SNF Aa 03 LLC | 5% Or Greater Direct Ownership Interest | Feb 16, 2015 | 100% |
| Alex a Amselem | 5% Or Greater Indirect Ownership Interest | Feb 16, 2015 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1426204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426204800000",
"number": "1962895086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 E DANIA BEACH BLVD # 306",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330043051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MEDICAL CT E",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524616",
"telephone_number": "352-860-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITRUS NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-13",
"last_updated": "2015-03-13",
"status": "A",
"authorized_official_last_name": "AMSELEM",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "305-968-1227"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1620096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Citrus Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Inverness, FL
- Citrus Memorial Health Foundation Inc
- Citrus Memorial Health Foundation Inc
- Citrus Memorial Health Foundation Inc
- Citrus Memorial Hospital, Inc.
- Citrus Memorial Hospital, Inc.
- Citrus Preferred Clinic,LLC
- Citrus Regional Clinic of Chiropractic, PA
- Citrus School District
- Citrus School District
- Citrus School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.