Organization Active NPI

Susquehanna Rehabilitation & Wellness Center LLC

Doing business as Susquehanna Health and Wellness Center

  • Skilled Nursing Facility
  • Columbia, PA
National Provider Identifier
1083206437
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUSQUEHANNA REHABILITATION & WELLNESS CENTER LLC
Doing business as
Susquehanna Health and Wellness Center
Practice address
745 Old Chiques Hill Rd
Columbia, PA 17512-8401
Phone
(717) 684-7555
Fax
(717) 684-3677
NPI assigned
Feb 8, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Steven Rosenzweig
Title
Authorized Member
Phone
(732) 994-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

745 Old Chiques Hill Rd
Columbia, PA 17512-8401

Mailing address

745 Old Chiques Hill Rd
Columbia, PA 17512-8401
Phone (717) 684-7555

Other names 1

  • Susquehanna Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210514002368 PA Part A Provider - Skilled Nursing Facility 2466861844 Practice locations: Columbia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083206437. Details of each certification follow.

Skilled nursing facility certification: CCN 395400

Legal name
SUSQUEHANNA REHABILITATION & WELLNESS CENTER LLC
Doing business as
SUSQUEHANNA HEALTH AND WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 31, 1978
Last certification
Aug 22, 2024
Beds
173
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 13, 2020 in DE
Enrollment address
745 Old Chiques Hill Rd
Columbia, PA 17512-8401
Nursing home name
SUSQUEHANNA HEALTH AND WELLNESS CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Susquehanna Health and Wellness CenterCCN 395400 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 31, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
173165.8 residents per day on average
Penalties (3 years)
9Fines totaling $105,688

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Avital Mandel Individual 5% Or Greater Indirect Ownership InterestPresident Apr 9, 2021 100%
Operational/Managerial Control Apr 9, 2021
Individual Adp of the SNF Mar 24, 2025
Mark Atwood Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Mar 24, 2025
Sar Ft Family TR Organization, Brooklyn, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 9, 2021 100%
Snhhc LLC Organization, Brooklyn, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 9, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1083206437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLD CHIQUES HILL RD",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175128401",
            "telephone_number": "717-684-7555",
            "fax_number": "717-684-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLD CHIQUES HILL RD",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175128401",
            "telephone_number": "717-684-7555",
            "fax_number": "717-684-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA REHABILITATION & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSENZWEIG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "732-994-7502"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susquehanna Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Susquehanna Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.