NPIMap

Organization Active NPI

Sandy Ridge SNF Operations LLC

  • Skilled Nursing Facility
  • Milton, FL
National Provider Identifier
1982240263
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANDY RIDGE SNF OPERATIONS LLC
Practice address
5360 Glover LN
Milton, FL 32570-4189
Phone
(850) 626-9225
Fax
(850) 626-5983
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mr. Solomon Klein
Title
Manager
Phone
(347) 909-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5360 Glover LN
Milton, FL 32570-4189

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113000832 FL Part A Provider - Skilled Nursing Facility 8325473705 Practice locations: Milton, FL

Skilled nursing facility certification: CCN 105552

Legal name
SANDY RIDGE SNF OPERATIONS LLC
Doing business as
SANDY RIDGE CENTER FOR REHABILITATION AND HEALING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 24, 1987
Last certification
Apr 3, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Summit
Organization structure
LLCProprietary
Incorporated
Sep 23, 2019 in FL
Enrollment address
5360 Glover LN
Milton, FL 32570-4189
Nursing home name
SANDY RIDGE CENTER FOR REHABILITATION AND HEALING
Affiliated entity
SUMMIT CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sandy Ridge Center for Rehabilitation and HealingCCN 105552
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 24, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.2 residents per day on average
Chain
Summit Care22 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
10D0698952Sandy Ridge Center for Rehabilitation & Healing5360 Glover Lane, Milton, FL 32570Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2123 Centre Pointe Blvd
Tallahassee, FL 32308

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Solomon Klein Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 25%
Operational/Managerial Control Feb 1, 2020 100%
Summit Care II Inc Organization, Tallahassee, FL Corporation Operational/Managerial Control Feb 1, 2020 100%
Sandy Ridge SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
Ezriel Drebin Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 8%
Shaul Kopelowitz Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 10%
Yisroel E Herzka Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 41.25%
Aaron Mayer Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 10%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1982240263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930",
            "telephone_number": "850-386-2831",
            "fax_number": "850-386-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 GLOVER LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704189",
            "telephone_number": "850-626-9225",
            "fax_number": "850-626-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY RIDGE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-909-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.