Village on the Green – Skilled Nursing Facility, NPI 1578500443

Village on the Green is a healthcare provider. based in Longwood, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. 21234096 (FL). The NPI Number for Village on the Green is 1578500443

Main info

Organization
Name
Village on the Green
NPI
1578500443
Phone
(407) 682-0230
Address
515 VILLAGE PL
Authorized Official
MR. JESSE JANTZEN PRESIDENT AND CEO
Enumeration Date
1 June 2006
Last Update Date
18 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Village on the Green

  • 515 VILLAGE PL

    LONGWOOD, FL 327796041

    Phone: (407) 682-0230

    Fax: (407) 682-3893

    Type: Mailing

  • Miscindy Place, Longwood Village, Harris County, Texas, 77429, United States

    LONGWOOD, FL 327796171

    Phone: (407) 682-0230

    Fax: (407) 682-3893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070521000197OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32779)

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Reviews

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Frequently asked questions

What identifier follows Village on the Green across health systems?
The NPI 1578500443 uniquely identifies Village on the Green in U.S. healthcare data.
Is Village on the Green's NPI status active today?
Active status means Village on the Green's NPI record is not deactivated in the public file.
What does the directory say Village on the Green does?
Insurance directories may phrase it differently, but here Village on the Green maps to Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Can patients visit Village on the Green in Longwood, Florida?
For routing, start with Longwood, Florida for Village on the Green, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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