Active NPI
The Villages Nursing and Rehab LLC
Doing business as The Villages Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE VILLAGES NURSING AND REHAB LLC
- Doing business as
- The Villages Healthcare and Rehabilitation Center
- Practice address
- 900 Highway 466
Lady Lake, FL 32159-3926 - Phone
- (352) 430-0017
- NPI assigned
- Dec 4, 2023
- Last updated
- Dec 4, 2023
- 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
- Robert Manela
- Title
- Authorized Official
- Phone
- (954) 774-7412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
900 Highway 466
Lady Lake, FL 32159-3926
Mailing address
700 N Palmetto St
Leesburg, FL 34748-4419
Phone (954) 774-7412
Other names 1
- The Villages Healthcare 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 |
|---|---|---|---|---|
| O20240306003687 | FL | Part A Provider - Skilled Nursing Facility | 3375989874 | Practice locations: Lady Lake, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992572614. Details of each certification follow.
Skilled nursing facility certification: CCN 106099
- Legal name
- THE VILLAGES NURSING AND REHAB LLC
- Doing business as
- THE VILLAGES HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 12, 2013
- Last certification
- May 8, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Dec 31, 2023
- Organization structure
- LLC
- Incorporated
- May 23, 2022 in DE
- Enrollment address
- 900 Highway 466
Lady Lake, FL 32159-3926 - Nursing home name
- VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE
- Affiliated entity
- GOLD FL TRUST II
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Villages Healthcare and Rehabilitation Center, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 12, 2013
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Gold FL Trust II
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 |
|---|---|---|---|
| 10D2050614 | The Villages Nursing and Rehab LLC | Certificate of waiver | Dec 2, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Silver FL Trust II | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 40.51% |
| Copper FL Trust II | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 9% |
| The Villages Nursing and Rehab Holdco LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2023 | 100% |
| Robert Shimon Manela | Corporate Officer | Dec 31, 2023 | |
| Janee Flanders | W-2 Managing Employee | Dec 31, 2023 | |
| FL Master Opco Holdco LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 90.02% |
| Gold FL Trust II | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 40.51% |
Facilities with the same owner 34
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1396487880
FL Master Opco Holdco LLC
-
- Skilled Nursing Facility
- St Petersburg, FL
- NPI 1073261665
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- St Petersburg, FL
- NPI 1316695901
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
dba Cypress Care Center and Rehab
- Skilled Nursing Facility
- Wildwood, FL
- NPI 1639811128
FL Master Opco Holdco LLC
-
- Skilled Nursing Facility
- Daytona Beach, FL
- NPI 1770231276
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- Hernando, FL
- NPI 1922756436
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- Daytona Beach, FL
- NPI 1437809845
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- Bradenton, FL
- NPI 1275281628
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- Fleming Island, FL
- NPI 1063160406
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1538817044
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1124777669
Copper FL Trust II, FL Master Opco Holdco LLC, Gold FL Trust II, Silver FL Trust II
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Lady Lake, FL
- NPI 1619364999
Nursing home
-
- General Practice Physician
- Bushnell, FL
- NPI 1437946993
Nursing home
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1871960997
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1992572614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N PALMETTO ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484419",
"telephone_number": "954-774-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HIGHWAY 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593926",
"telephone_number": "352-430-0017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VILLAGES NURSING AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "MANELA",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "954-774-7412"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Villages Healthcare and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lady Lake, FL
- Roberto A Tellez, PHARM D.
- The Fernandez Martinez Management, LLC
- The Springs Lady Lake Assisted Living Facility and Rehab LLC
- The Villages Injury Care
- The Villages Internal Medicine and Geriatrics
- The Villages Rehabilitation Services LLC (Lake Centre for Rehabilitation at the Villages)
- Jeffrey R Thill, M.D.
- Kelsie Thomas
- Matthew Thompson, PA-C
- Hina Aslam Ticknor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.