Active NPI
Heritage Park Operations LLC
- Skilled Nursing Facility
- Dade City, FL
National Provider Identifier
1992317291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HERITAGE PARK OPERATIONS LLC
- Practice address
- 37135 Coleman Ave
Dade City, FL 33525-4526 - Phone
- (352) 567-8615
- NPI assigned
- Aug 18, 2020
- 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
- Mr. Solomon Klein
- Title
- Member
- Phone
- (352) 567-8615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
37135 Coleman Ave
Dade City, FL 33525-4526
Mailing address
2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Other names 1
- Dade City 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 |
|---|---|---|---|---|
| O20201123001108 | FL | Part A Provider - Skilled Nursing Facility | 4981015930 | Practice locations: Dade City, FL |
Skilled nursing facility certification: CCN 105320
- Legal name
- HERITAGE PARK OPERATIONS LLC
- Doing business as
- DADE CITY HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 11, 1980
- Last certification
- Apr 25, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Lilac Health Group
- Organization structure
- LLC
- Incorporated
- Aug 14, 2020 in FL
- Enrollment address
- 37135 Coleman Ave
Dade City, FL 33525-4526 - Nursing home name
- DADE CITY HEALTH AND REHABILITATION CENTER
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Dade City Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 11, 1980
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Simcha Hyman & Naftali Zanziper
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 6
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Batya Gorelick | Corporate Officer | May 1, 2021 | |
| Simcha Melech Hyman | 5% Or Greater Direct Ownership Interest | Nov 3, 2020 | 50% |
| Naftali Zanziper | 5% Or Greater Direct Ownership Interest | Nov 3, 2020 | 50% |
| Jeffrey Ward | W-2 Managing Employee | Nov 3, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- San Antonio, FL
- NPI 1205879459
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669161600000",
"number": "1992317291",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37135 COLEMAN AVE",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254526",
"telephone_number": "352-567-8615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE PARK OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-18",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "352-567-8615",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dade City Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dade City, FL
- Healthstat Wellness Pasco Dade
- Healthstat Wellness Pasco-Dade Dispensing
- Heartful Haven Companion Care LLC
- Joan E Heitzler, ARNP
- Ashley Hendrickson
- Alexis Hernandez Bonilla, MD
- Tatiana Natalie Hernandez Cabrera, MD
- Dianelys Hernandez Martinez
- Yojannys Hernandez Maturell
- Francisco J Hernandez Mendez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.