Active NPI
Clear Water Care Acquisition LLC
- Skilled Nursing Facility
- Clearwater, FL
National Provider Identifier
1982195111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CLEAR WATER CARE ACQUISITION LLC
- Practice address
- 2055 Palmetto St
Clearwater, FL 33765-2118 - Phone
- (727) 461-6613
- NPI assigned
- May 23, 2018
- 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
- Leopold Friedman
- Title
- Manager
- Phone
- (718) 852-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2055 Palmetto St
Clearwater, FL 33765-2118
Mailing address
1000 Gates Ave
Brooklyn, NY 11221-6295
Other names 1
- Kensington Gardens Rehab and Nursing 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 |
|---|---|---|---|---|
| O20180607001305 | FL | Part A Provider - Skilled Nursing Facility | 7315202652 | Practice locations: Clearwater, FL |
Skilled nursing facility certification: CCN 105453
- Legal name
- CLEAR WATER CARE ACQUISITION LLC
- Doing business as
- KENSINGTON GARDENS REHAB AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 30, 1983
- Last certification
- Feb 1, 2024
- Beds
- 150
- Ownership / control type
- Individual
- Multi-facility organization
- Aston Healthcare
- Organization structure
- LLC
- Incorporated
- May 7, 2018 in FL
- Enrollment address
- 2055 Palmetto Street
Clearwater, FL 33765-2118 - Nursing home name
- KENSINGTON GARDENS REHAB AND NURSING CENTER
- Affiliated entity
- ASTON HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kensington Gardens Rehab and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Dec 30, 1983
- Medicare certification status
- Active
- Certified beds
- 150
- Chain
- Aston Health
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
2056 Palmetto St
Clearwater, FL 33765
155 Landover Pl
Longwood, FL 32750
Phone (407) 830-7740
1000 Gates Ave
Brooklyn, NY 11221
Phone (718) 239-1850
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Aston Healthcare LLC | Adp of the SNF | Jan 1, 2022 | |
| Nathan Colip | Operational/Managerial Control | Nov 5, 2025 | |
| Adp of the SNF | Nov 5, 2025 | ||
| Donna Wildes | Corporate Officer | Aug 28, 2025 | |
| Operational/Managerial Control | Aug 28, 2025 | ||
| Citadel Care Group LLC | 5% Or Greater Indirect Ownership Interest | May 7, 2018 | 100% |
| CW Care Holdings LLC | 5% Or Greater Direct Ownership Interest | May 7, 2018 | 100% |
| Jennifer Campbell | Operational/Managerial Control | Nov 5, 2025 | |
| Constantina Wilson | Operational/Managerial Control | Nov 5, 2025 | |
| Samuel Gutman | 5% Or Greater Indirect Ownership Interest | May 7, 2018 | 4.9% |
| Julie Bell-Morris | Operational/Managerial Control | Nov 5, 2025 | |
| Adp of the SNF | Nov 5, 2025 | ||
| Leopold Friedman | 5% Or Greater Indirect Ownership Interest | May 7, 2018 | 95.1% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Largo, FL
- NPI 1407316862
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Vero Beach, FL
- NPI 1831680073
Citadel Care Group LLC
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- St. Petersburg, FL
- NPI 1982915781
Nursing home
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Plant City, FL
- NPI 1265655757
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1982195111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GATES AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 PALMETTO ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652118",
"telephone_number": "727-461-6613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR WATER CARE ACQUISITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-23",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "LEOPOLD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-852-7000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kensington Gardens Rehab and Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.