NPIMap

Organization Active NPI

Spring Creek Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Perth Amboy, NJ
National Provider Identifier
1033878590
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRING CREEK REHABILITATION AND NURSING CENTER LLC
Practice address
1 Lindberg Ave
Perth Amboy, NJ 08861-1841
Phone
(732) 826-0500
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Blimi Aviv
Title
Director of Ar
Phone
(973) 285-2893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1 Lindberg Ave
Perth Amboy, NJ 08861-1841

Mailing address

1105 E County Line Rd Ste 201
Lakewood, NJ 08701-2122
Phone (973) 285-2893

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220510000746 NJ Part A Provider - Skilled Nursing Facility 0345637773 Practice locations: Perth Amboy, NJ
O20240306003847 NJ Part B Supplier - Clinic/Group Practice 0345637773 Receives reassigned benefits from 1 practitioner
Practice locations: Perth Amboy, NJ

Skilled nursing facility certification: CCN 315305

Legal name
SPRING CREEK REHABILITATION AND NURSING CENTER LLC
Doing business as
SPRING CREEK HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1991
Last certification
Apr 15, 2025
Beds
179
Ownership / control type
Individual
Most recent change of ownership
Dec 1, 2021
Organization structure
LLCProprietary
Incorporated
May 10, 2021 in NJ
Enrollment address
1 Lindbergh Ave
Perth Amboy, NJ 08861-1841
Nursing home name
SPRING CREEK HEALTHCARE CENTER
Affiliated entity
ALLAIRE HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spring Creek Healthcare CenterCCN 315305 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
179150.0 residents per day on average
Chain
Allaire Health Services20 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
31D2199219Spring Creek Rehabilitation and1 Lindberg Ave, Perth Amboy, NJ 08861Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Locations

1105 E County Line Rd
Lakewood, NJ 08701

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Benjamin Kurland Individual 5% Or Greater Direct Ownership Interest100 Dec 1, 2021
Corporate OfficerCeo Dec 1, 2021 100%
Sam Atlas Individual W-2 Managing EmployeeAdministrator Dec 1, 2021 5%

Practitioners & affiliated clinicians

Practitioners 7

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

Affiliated clinicians 4

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": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1033878590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012122",
            "telephone_number": "973-285-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINDBERG AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088611841",
            "telephone_number": "732-826-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "AVIV",
        "authorized_official_first_name": "BLIMI",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "973-285-2893"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.