Riverhead Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5155301N Issued in NY

Legal business name

RIVERHEAD CARE CENTER LLC

Practice address

1146 Woodcrest Ave
Riverhead, NY 11901-2016

Phone

(631) 727-4400

Fax

(631) 727-7223

NPI assigned

Sep 30, 2005

Last updated

Jan 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Mangels, LNHA

Title

Administrator

Phone

(631) 727-4400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Riverhead Nursing Home Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033106463. Details of each certification follow.

• CCN 335254 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335254

Legal name

RIVERHEAD CARE CENTER, LLC

Doing business as

ACADIA CENTER FOR NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 3, 1968

Last certification

Sep 18, 2024

Beds

181

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

1146 Woodcrest Ave
Riverhead, NY 11901-2016

Nursing home name

ACADIA CENTER FOR NURSING AND REHABILITATION

Listed as

Acadia Center For Nursing And RehabilitationCCN 335254 · 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 - Corporation

Certified

Mar 3, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

181103.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Olaf Butchma, DO

  • Internal Medicine Physician
  • Westhampton, NY
  • NPI 1326037474

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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.

• Olaf Butchma, DO

  • Internal Medicine Physician
  • Westhampton, NY
  • NPI 1326037474
  NPD (past)
• Wei K Kao, M.D.

  • Internal Medicine Physician
  • Ronkonkoma, NY
  • NPI 1629295571
  NPD (past)
• John P O'Connor, MD

  • Internal Medicine Physician
  • Calverton, NY
  • NPI 1811917578
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Olaf Butchma, DO

  • Internal Medicine Physician
  • Westhampton, NY
  • NPI 1326037474

  Nursing home

  Care Compare affiliation
• Wei K Kao, M.D.

  • Internal Medicine Physician
  • Ronkonkoma, NY
  • NPI 1629295571

  Nursing home

  Care Compare affiliation
• Masood Saeed, M.D.

  • Hospitalist Physician
  • Plainview, NY
  • NPI 1588921894

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1033106463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 WOODCREST AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012016",
            "telephone_number": "631-727-4400",
            "fax_number": "631-727-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 WOODCREST AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012016",
            "telephone_number": "631-727-4400",
            "fax_number": "631-727-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERHEAD CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "MANGELS",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-727-4400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5155301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PFI NUMBER",
            "identifier": "0941",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5155301N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverhead Nursing Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Riverhead Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard K. Fishler (Smile Designs of long Island East)
• Maya N Richardson
• Altair Rigdon, LMT, CMLDT, CPCP
• Douglas A. Riggs, RPAC
• Amy Ann Riley
• Riverhead Central School District
• Riverhead Chiropractic and Physical Therapy PLLC (Spine & Muscle)
• Riverhead Chiropractic Wellness, PC
• Riverhead Dental Assoc. P.C.
• Riverhead Volunteer Ambulance Corps Inc

• Skilled Nursing Facility in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.