Organization Active NPI

Lincolnwood Operator, LLC

Doing business as Lincolnwood Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • North Providence, RI
National Provider Identifier
1053925024
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINCOLNWOOD OPERATOR, LLC
Doing business as
Lincolnwood Rehabilitation and Healthcare Center
Practice address
610 Smithfield Rd
North Providence, RI 02904-3820
Phone
(401) 353-6300
NPI assigned
Sep 7, 2020
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Shlomo Freundlich
Title
Director of Risk Management
Phone
(732) 903-1985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

610 Smithfield Rd
North Providence, RI 02904-3820

Mailing address

1608 Route 88 Ste 301
Brick, NJ 08724-3009
Phone (732) 903-1985

Other names 1

  • Lincolnwood Rehabilitation and Healthcare Center Doing business as

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 RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318000081 RI Part A Provider - Skilled Nursing Facility 8224445226 Practice locations: North Providence, RI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053925024. Details of each certification follow.

Skilled nursing facility certification: CCN 415035

Legal name
LINCOLNWOOD OPERATOR LLC
Doing business as
LINCOLNWOOD REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1975
Last certification
Jan 16, 2025
Beds
200
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
May 15, 2020 in RI
Enrollment address
610 Smithfield Rd
North Providence, RI 02904-3820
Nursing home name
LINCOLNWOOD REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
MARQUIS HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lincolnwood Rehabilitation and Healthcare CenterCCN 415035 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200177.9 residents per day on average
Chain
Marquis Health Services87 facilities in the chain
Penalties (3 years)
6Fines totaling $70,731

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
41D0884005Lincolnwood Operator, LLC610 Smithfield Road, North Providence, RI 02904Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Tryko Nexgen Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2021 56.8%
Adp of the SNF Dec 31, 2021
Dina Harman Individual Managing Control - Governing BodyMember of Governing Body Mar 8, 2021
Adp of the SNF Mar 8, 2021
Israel Discount Bank of New York - Idb Bank of York Organization, New York, NY Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 8, 2021
5% Or Greater Security Interest Mar 8, 2021
Organization, New Canaan, CT LLC, Consulting firm, For-profit Adp of the SNF Mar 24, 2025
Reliant Pro Rehab LLC Organization, Plano, TX LLC, Medical provider/supplier, For-profit Operational/Managerial Control Mar 8, 2021
Adp of the SNF Mar 24, 2025
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 21, 2025
Lincolnwood Property LLC Organization, Brick, NJ LLC, For-profit Adp of the SNF Mar 8, 2021
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 21, 2025
Yr Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 28.4%
Adp of the SNF Dec 31, 2021
Marquis Limited LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control Mar 8, 2021
Adp of the SNF Mar 21, 2025
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 21, 2025
Naresh K Dasari Individual Operational/Managerial Control Mar 8, 2021
Adp of the SNF Mar 8, 2021
SK Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 14.2%
Adp of the SNF Dec 31, 2021
Mindee Posen Individual Corporate OfficerMedicare Administration Officer Mar 8, 2021
Adp of the SNF Mar 8, 2021
Rsbrmk Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2021 21.8%
Adp of the SNF Dec 31, 2021
Bena Arnett Individual Corporate DirectorAdministrator Apr 3, 2023
Operational/Managerial Control Apr 3, 2023
Managing Control - Governing BodyMember of Governing Body Apr 3, 2023
Adp of the SNF Apr 3, 2023
NFR 2020 Irrv TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 21.8%
Adp of the SNF Dec 31, 2021
Organization, Louisville, KY LLC, Consulting firm, For-profit Adp of the SNF Mar 24, 2025
Yk Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 14.2%
Adp of the SNF Dec 31, 2021
Ukr Nexgen LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2021 20%
Adp of the SNF Dec 31, 2021
Yogesh V Viroja Individual Managing Control - Governing BodyMember of Governing Body Mar 8, 2021
Adp of the SNF Mar 8, 2021
Joel Stevens Individual Managing Control - Governing BodyMember of Governing Body Aug 26, 2024
Adp of the SNF Aug 26, 2024
Uak 2020 Irrv TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 20%
Adp of the SNF Dec 31, 2021
Quinto Nexgen LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2021 78.6%
Adp of the SNF Dec 31, 2021
Nutraco LLC Organization, Hollywood, FL LLC, Management services company, For-profit Operational/Managerial Control Sep 12, 2024
Adp of the SNF Mar 24, 2025
Organization, Manalapan, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 24, 2025
Skilled Venture LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Mar 8, 2021 1.4%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 89

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

View all 89

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1053925024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 STE 301",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-903-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SMITHFIELD RD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043820",
            "telephone_number": "401-353-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNWOOD OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "FREUNDLICH",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "732-903-1985"
    },
    "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": [
        {
            "organization_name": "Lincolnwood Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincolnwood Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.