Active NPI
Parkside Operation LLC
Doing business as The Center for Advanced Rehab at Parkside
- Skilled Nursing Facility
- Rossville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2016
- 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
- Ephram M Lahasky
- Title
- Member
- Phone
- (646) 772-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 31, 1967
- Medicare certification status
- Active
- Certified beds
- 125
- Chain
- Ephram Lahasky
National Provider Directory
National Provider DirectoryNetworks
- 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | Apr 21, 2016 | 50% |
| Operational/Managerial Control | Apr 1, 2016 | 50% | |
| Carolyn E Disher | W-2 Managing Employee | Apr 21, 2016 | 100% |
| Joshua Farkovits | 5% Or Greater Direct Ownership Interest | Apr 21, 2016 | 50% |
| Brian Kohn | Corporate Officer | 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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1316919384
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.