Organization Active NPI

Parkside Operation LLC

Doing business as The Center for Advanced Rehab at Parkside

  • Skilled Nursing Facility
  • Rossville, GA
National Provider Identifier
1023476595
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKSIDE OPERATION LLC
Doing business as
The Center for Advanced Rehab at Parkside
Practice address
110 Park City Rd
Rossville, GA 30741-3980
Phone
(706) 858-2702
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Ephram M Lahasky
Title
Member
Phone
(646) 772-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

110 Park City Rd
Rossville, GA 30741-3980

Mailing address

110 Park City Rd
Rossville, GA 30741-3980
Phone (706) 858-2702

Other names 1

  • The Center for Advanced Rehab at Parkside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160516001473 GA Part A Provider - Skilled Nursing Facility 5395034243 Practice locations: Rossville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023476595. Details of each certification follow.

Skilled nursing facility certification: CCN 115040

Legal name
PARKSIDE OPERATION LLC
Doing business as
THE CENTER FOR ADVANCED REHAB AT PARKSIDE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 31, 1967
Last certification
Mar 13, 2025
Beds
125
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 4, 2016 in GA
Enrollment address
110 Park City Rd
Rossville, GA 30741-3980
Nursing home name
CENTER FOR ADVANCED REHAB AT PARKSIDE, THE
Affiliated entity
EPHRAM LAHASKY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Center for Advanced Rehab at Parkside, theCCN 115040 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 31, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
125121.4 residents per day on average
Chain
Ephram Lahasky22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Networks

  • SC HMO

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ephram M Lahasky Individual 5% Or Greater Direct Ownership Interest Apr 21, 2016 50%
Operational/Managerial Control Apr 1, 2016 50%
Carolyn E Disher Individual W-2 Managing EmployeeAdministrator Apr 21, 2016 100%
Joshua Farkovits Individual 5% Or Greater Direct Ownership Interest Apr 21, 2016 50%
Brian Kohn Individual Corporate OfficerVP of Acquisitions Apr 21, 2016
Operational/Managerial Control Apr 21, 2016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1023476595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PARK CITY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413980",
            "telephone_number": "706-858-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK CITY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413980",
            "telephone_number": "706-858-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE OPERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-772-3668"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Advanced Rehab at Parkside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rossville, GA

Sources for this page

Verify at the official NPI Registry.