Organization Active NPI

Maybrook-P Millville Opco, LLC

Doing business as The Gardens at Millville

  • Skilled Nursing Facility
  • Millville, PA
National Provider Identifier
1043672520
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAYBROOK-P MILLVILLE OPCO, LLC
Doing business as
The Gardens at Millville
Practice address
48 Haven Lane
Millville, PA 17846-0320
Phone
(570) 458-5566
NPI assigned
Mar 24, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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

48 Haven Lane
Millville, PA 17846-0320

Mailing address

34 Lord Ave
Lawrence, NY 11559-1324

Other names 1

  • The Gardens at Millville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921000222 PA Part A Provider - Skilled Nursing Facility 4789971698 Practice locations: Millville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043672520. Details of each certification follow.

Skilled nursing facility certification: CCN 395872

Legal name
MAYBROOK-P MILLVILLE OPCO LLC
Doing business as
THE GARDENS AT MILLVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1992
Last certification
Feb 14, 2025
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Priority Healthcare Group
Organization structure
LLCProprietary
Incorporated
Dec 4, 2015 in DE
Enrollment address
48 Haven Lane
Millville, PA 17846-0320
Nursing home name
GARDENS AT MILLVILLE, THE
Affiliated entity
PRIORITY HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gardens at Millville, theCCN 395872 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
110101.6 residents per day on average
Chain
Priority Healthcare Group12 facilities in the chain
Penalties (3 years)
2Fines totaling $25,275

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
39D0904010Gardens at Millville, the48 Haven Lane, Millville, PA 17846Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Gabriel J Sebbag Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2016 5%
Samara Holdings Company LLC Organization, Valley Stream, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2020 10.25%
Maybrook-P Millville Propco LLC Organization, Lawrence, NY LLC, For-profit Adp of the SNF Aug 15, 2016
Lme Family Holdings LLC Organization, Hewlett, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2020 10.25%
Priority Care Group LLC Organization, Howell, NJ LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2019
Vincent Urban Individual Operational/Managerial Control Aug 15, 2016
Adp of the SNF Apr 6, 2025
Fair Oaks Family Holdings LLC Organization, Mineola, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2020 11.87%
Strawberry Hill Holdings LLC Organization, Lawrence, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2020 10.25%
Robert J Pearlstein Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2025
BL Capital Group Holdings LLC Organization, Mineola, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2020 23.75%
Summation Financial Services LLC Organization, Howell, NJ LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jul 1, 2025
Philipson Family Limited Liability Company, LLC Organization, Spring Valley, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 15, 2016 25.63%
Clinical Consulting Services LLC Organization, Eddystone, PA LLC, Consulting firm, For-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jul 1, 2025
Maybrook-P Opco Holdings LLC Organization, Lawrence, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 15, 2016 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 64

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 64

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 2

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": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1043672520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LORD AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HAVEN LANE",
            "city": "MILLVILLE",
            "state": "PA",
            "postal_code": "178460320",
            "telephone_number": "570-458-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBROOK-P MILLVILLE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "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 Gardens at Millville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millville, PA

Sources for this page

Verify at the official NPI Registry.