NPIMap

Organization Active NPI

Hampton Operations LLC

  • Skilled Nursing Facility
  • Hanover Township, PA
National Provider Identifier
1043044605
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAMPTON OPERATIONS LLC
Practice address
1548 Sans Souci Pkwy
Hanover Township, PA 18706-6028
Phone
(773) 825-3336
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Max Stesel
Title
Manager
Phone
(773) 825-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1548 Sans Souci Pkwy
Hanover Township, PA 18706-6028

Mailing address

8170 McCormick Blvd Ste 112
Skokie, IL 60076-2914
Phone (773) 825-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250328001633 PA Part A Provider - Skilled Nursing Facility 9234652462 Practice locations: Hanover Township, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043044605. Details of each certification follow.

Skilled nursing facility certification: CCN 395249

Legal name
HAMPTON OPERATIONS LLC
Doing business as
EDENBROOK AT HAMPTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 17, 1968
Last certification
Aug 23, 2024
Beds
104
Ownership / control type
Corporation
Multi-facility organization
Eden East
Organization structure
LLC
Enrollment address
1548 Sans Souci Pkwy
Hanover Township, PA 18706-6028
Nursing home name
EDENBROOK AT HAMPTON
Affiliated entity
EDEN SENIOR CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edenbrook at HamptonCCN 395249 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 17, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10483.9 residents per day on average
Chain
Eden Senior Care21 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Mordechai Polstein Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 34%
Operational/Managerial Control Feb 1, 2025
Managing Control - Governing BodyCoo Feb 1, 2025
Adp of the SNF Feb 1, 2024
Ellen Byron Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
Dovie Mauer Individual 5% Or Greater Indirect Ownership Interest6 Feb 1, 2025
Adp of the SNF Feb 1, 2025
Hampton SNF Realty, LLC Organization, Skokie, IL LLC Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
Maxim Stesel Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 41.6%
Operational/Managerial Control Feb 1, 2024
Managing Control - Governing BodyManager Feb 1, 2025
Adp of the SNF Feb 1, 2024
Channie B Lifsics Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 6%
Adp of the SNF Feb 1, 2025
Basant K Mittal Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
Gleb Zarkh Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 12.4%
Adp of the SNF Feb 1, 2024
PA 6 Investors, LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 100%
Adp of the SNF Feb 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1043044605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 112",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762914",
            "telephone_number": "773-825-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 SANS SOUCI PKWY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187066028",
            "telephone_number": "773-825-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "STESEL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-825-3336"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Township, PA

Sources for this page

Verify at the official NPI Registry.