Active NPI
S&J Operational LLC
Doing business as Luxor Nursing and Rehabilitation at Mills Pond
- Skilled Nursing Facility
- Saint James, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00312029 | Medicaid | NY |
Other names 1
- Luxor Nursing and Rehabilitation at Mills Pond
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Pond
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 21, 1991
- Medicare certification status
- Active
- Certified beds
- 252
- Chain
- Carerite Centers
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 |
|---|---|---|---|
| 33D2020254 | S and J Operational LLC Dba Luxor Nursing | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Zalmen Leo Oberlander | 5% Or Greater Direct Ownership Interest | Apr 16, 2018 | 5% |
| Shaya Bernath | 5% Or Greater Direct Ownership Interest | Jul 20, 2021 | 23% |
| Elliot Kahan | 5% Or Greater Direct Ownership Interest | Jul 20, 2021 | 5% |
| Jacob Hager | 5% Or Greater Direct Ownership Interest | Jul 20, 2021 | 23% |
| Steven Lewis | W-2 Managing Employee | Apr 16, 2018 | |
| Kenneth Rozenberg | 5% Or Greater Direct Ownership Interest | Jul 20, 2021 | 22% |
| Chaim Hagar | 5% Or Greater Direct Ownership Interest | Jul 20, 2021 | 11% |
| Shifra Hager | 5% Or Greater Direct Ownership Interest | 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.
-
- Internal Medicine Physician
- North Babylon, NY
- NPI 1023106838
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1902981947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.