SOUTH DADE OPCO LLC
NPI 1245703792
Skilled Nursing Facility in Miami, FL

Active since January 08, 2019CLIA 10D0884966 · Waiver
17475 S DIXIE HWY, MIAMI, FL 33157(305) 255-1045 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2026, Aug 30, 2023, Aug 22, 2022 and 1 more (4 updates tracked since 2019).

About South Dade Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH DADE OPCO LLC (NPI 1245703792) is a healthcare organization registered as a skilled nursing facility in Miami, Florida and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Jacob Bengio, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245703792
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH DADE OPCO LLC
Location Address17475 S DIXIE HWYMiami, FL 33157-5434
Mailing Address945 BroadwayWoodmere, NY 11598-1733 · (516) 869-3700
Organization SubpartNo
Authorized OfficialJacob BengioCfo · (305) 562-5501
Enumeration DateJanuary 8, 2019
Last NPPES UpdateApril 29, 20264 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1245703792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
17475 S DIXIE HWY, Miami, FL 33157

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0884966

South Dade Nursing & Rehabilitation Center · Miami, FL
Active · expires Apr 12, 2028
CLIA Number10D0884966
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorMelissa De Cardenas
Laboratory Phone(305) 225-1045
Laboratory LocationSouth Dade Nursing & Rehabilitation Center17475 S Dixie Highway, Miami, FL 33157
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
17475 S DIXIE HWY
MIAMI, FL 33157
Skilled Nursing Facility
17475 S DIXIE HWY
MIAMI, FL 33157
Speech-Language Pathologist
17475 S DIXIE HWY
MIAMI, FL 33157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Dade Opco LLC's NPI number?

The NPI number for South Dade Opco LLC is 1245703792. It was assigned to this organization in the NPPES registry on January 8, 2019.

Where is South Dade Opco LLC located?

South Dade Opco LLC is located at 17475 S Dixie Hwy, Miami, FL 33157. The listed phone number is (305) 255-1045.

What is South Dade Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does South Dade Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0884966) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Dade Opco LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list South Dade Opco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Dade Opco LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.