Country Arch Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NJ61006 Issued in NJ

Legal business name

COUNTRY ARCH CARE CENTER, LLC

Practice address

114 Pittstown Rd
Pittstown, NJ 08867-4224

Phone

(908) 735-6600

Fax

(908) 735-7600

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Jonathan Rosenberg

Title

Owner

Phone

(908) 735-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063496842. Details of each certification follow.

• CCN 315433 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315433

Legal name

COUNTRY ARCH CARE CENTER, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1997

Last certification

Jan 23, 2025

Beds

130

Ownership / control type

Individual

Organization structure

LLCProprietary

Enrollment address

114 Pittstown Road
Pittstown, NJ 08867-4224

Nursing home name

COUNTRY ARCH CARE CENTER

Affiliated entity

THE ROSENBERG FAMILY

Listed as

Country Arch Care CenterCCN 315433 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Dec 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

130114.9 residents per day on average

Chain

The Rosenberg Family16 facilities in the chain

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

Locations

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.

• Larisa Golub, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Flemington, NJ
  • NPI 1710956586

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• Larisa Golub, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Flemington, NJ
  • NPI 1710956586
  NPD (past)
• Paul P Madura Jr., MD

  • Family Medicine Physician
  • Hampton, NJ
  • NPI 1144255506
  NPD (past)

Affiliated clinicians 2

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

• Larisa Golub, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Flemington, NJ
  • NPI 1710956586

  Nursing home

  Care Compare affiliation
• Paul P Madura Jr., MD

  • Family Medicine Physician
  • Hampton, NJ
  • NPI 1144255506

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1063496842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PITTSTOWN RD",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088674224",
            "telephone_number": "908-735-6600",
            "fax_number": "908-735-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PITTSTOWN RD",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088674224",
            "telephone_number": "908-735-6600",
            "fax_number": "908-735-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY ARCH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-735-6600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "NJ61006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8531803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Paige Bercaw
• Karen Scott Boates, LCSW
• Abhishek Chandra, DMD
• Felere Cherfils, MD, P.A.
• Paige Elizabeth Cordero
• Kathryn Louise Dowd, DPT
• Eagle Medical Transport Inc
• Caitlin Flanigan, MA, CCC-SLP
• Francis Guenther
• Samantha A Godown, R.D.N

• Skilled Nursing Facility in Pittstown, NJ
• Providers in Pittstown, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.