Organization Active NPI

S&J Operational LLC

Doing business as Luxor Nursing and Rehabilitation at Mills Pond

  • Skilled Nursing Facility
  • Saint James, NY
National Provider Identifier
1013424506
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
S&J OPERATIONAL LLC
Doing business as
Luxor Nursing and Rehabilitation at Mills Pond
Practice address
273 Moriches Rd
Saint James, NY 11780
Phone
(631) 862-8990
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Jacob Hager
Title
Managing Member
Phone
(718) 302-1613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

273 Moriches Rd
Saint James, NY 11780

Mailing address

273 Moriches Rd
Saint James, NY 11780-2117

Other identifiers 1

IdentifierTypeStateIssuer
00312029MedicaidNY

Other names 1

  • Luxor Nursing and Rehabilitation at Mills Pond Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180723001580 NY Part A Provider - Skilled Nursing Facility 0143577155 Practice locations: Saint James, NY

Skilled nursing facility certification: CCN 335739

Legal name
S&J OPERATIONAL LLC
Doing business as
LUXOR NURSING AND REHABILITATION AT MILLS POND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 21, 1991
Last certification
Jan 14, 2025
Beds
252
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 8, 2018 in NY
Enrollment address
273 Moriches Rd
Saint James, NY 11780-2117
Nursing home name
LUXOR NURSING & REHABILITATION AT MILLS POND
Affiliated entity
CARERITE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Luxor Nursing & Rehabilitation at Mills PondCCN 335739 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 21, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
252228.6 residents per day on average
Chain
Carerite Centers34 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
33D2020254S and J Operational LLC Dba Luxor Nursing273 Moriches Road, St James, NY 11780Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Zalmen Leo Oberlander Individual 5% Or Greater Direct Ownership InterestMember Apr 16, 2018 5%
Shaya Bernath Individual 5% Or Greater Direct Ownership InterestMember Jul 20, 2021 23%
Elliot Kahan Individual 5% Or Greater Direct Ownership InterestMember Jul 20, 2021 5%
Jacob Hager Individual 5% Or Greater Direct Ownership InterestMember Jul 20, 2021 23%
Steven Lewis Individual W-2 Managing EmployeeLnha Apr 16, 2018
Kenneth Rozenberg Individual 5% Or Greater Direct Ownership InterestMember Jul 20, 2021 22%
Chaim Hagar Individual 5% Or Greater Direct Ownership InterestMember Jul 20, 2021 11%
Shifra Hager Individual 5% Or Greater Direct Ownership InterestMember Jul 20, 2021 11%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1013424506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-862-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&J OPERATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-302-1613"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxor Nursing and Rehabilitation at Mills Pond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint James, NY

Sources for this page

Verify at the official NPI Registry.