NPIMap

Organization Active NPI

John Ashley Drive Operating LLC

  • Skilled Nursing Facility
  • North Little Rock, AR
National Provider Identifier
1083299937
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JOHN ASHLEY DRIVE OPERATING LLC
Practice address
2501 John Ashley Dr
North Little Rock, AR 72114-1815
Phone
(501) 758-3800
NPI assigned
Mar 12, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Yisroel Ganz
Title
Incorporator
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2501 John Ashley Dr
North Little Rock, AR 72114-1815

Mailing address

1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048
Phone (732) 366-5705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211210001040 AR Part A Provider - Skilled Nursing Facility 9638569445 Practice locations: North Little Rock, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083299937. Details of each certification follow.

Skilled nursing facility certification: CCN 045385

Legal name
JOHN ASHLEY DRIVE OPERATING LLC
Doing business as
THE BLOSSOMS AT NORTH LITTLE ROCK REHAB & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 16, 2003
Last certification
Apr 24, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 23, 2019
Organization structure
LLCProprietary
Incorporated
Dec 1, 2020 in AR
Enrollment address
2501 John Ashley Dr
North Little Rock, AR 72114-1815
Nursing home name
THE BLOSSOMS AT NORTH LITTLE ROCK REHAB & NURSING
Affiliated entity
THE BLOSSOMS REHAB & NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Blossoms at North Little Rock Rehab & NursingCCN 045385 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 16, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140102.2 residents per day on average
Chain
The Blossoms Rehab & Nursing Center23 facilities in the chain

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
04D2085638Blossoms at North Little Rock, the2501 John Ashley Drive, North Little Rock, AR 72114Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

317 Monmouth Ave
Ste 201
Lakewood, NJ 08701

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Matisyohu Herzka Individual 5% Or Greater Indirect Ownership InterestManaging Member Jan 1, 2023 64.67%
Pine Tree Holding LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 5, 2021 100%
MH Ar Opco LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2023 64.67%
ZCS Ar Opco LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2023 32.33%
Cynthia Dughetti Individual W-2 Managing EmployeeAdministrator Apr 5, 2021 100%
Shlomo Z Scheinbaum Individual 5% Or Greater Indirect Ownership InterestCeo Jan 1, 2023 32.33%
Corporate OfficerCeo Apr 5, 2021 100%

Facilities with the same owner 22

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

View all 22

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": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1083299937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JOHN ASHLEY DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141815",
            "telephone_number": "501-758-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ASHLEY DRIVE OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.