NPIMap

Organization Active NPI

FSNR Chha LLC

Doing business as Four Seasons Nursing and Reahbilitation Certified Home Health Agency

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1093367039
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FSNR CHHA LLC
Doing business as
Four Seasons Nursing and Reahbilitation Certified Home Health Agency
Practice address
1535 Rockaway Pkwy
Brooklyn, NY 11236-4001
Phone
(718) 307-5460
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Nathan Zelcer
Title
Controller
Phone
(718) 927-6346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1535 Rockaway Pkwy
Brooklyn, NY 11236-4001

Mailing address

1535 Rockaway Pkwy
Brooklyn, NY 11236-4001

Other names 1

  • Four Seasons Nursing and Reahbilitation Certified Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190820003089 NY Part A Provider - Home Health Agency 5294063863 Practice locations: Brooklyn, NY

Home health agency certification: CCN 337434

Legal name
FSNR CHHA LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2008
Last certification
Oct 25, 2019
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Apr 11, 2014 in DE
Enrollment address
1535 Rockaway Pkwy
Brooklyn, NY 11236-4001
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Four Seasons Nursing & Rehabilitation ChhaCCN 337434 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Apr 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Sheryl Frankl Individual 5% Or Greater Direct Ownership Interest Apr 21, 2014 8%
Chawawia Pomerawtz Individual 5% Or Greater Direct Ownership Interest Apr 21, 2014 5%
Lea Sherman Individual 5% Or Greater Direct Ownership Interest Apr 21, 2014 40%
Jeffery Goldstein Individual 5% Or Greater Direct Ownership Interest Apr 21, 2014 10%
Michael Manela Individual 5% Or Greater Direct Ownership Interest Apr 21, 2014 20%
Alexander Sherman Individual 5% Or Greater Direct Ownership Interest Apr 21, 2014 15%
Benjamin Okpeseyi Individual W-2 Managing EmployeeAd; Sep 1, 2021

Change-of-ownership history 1

DateEventCounterparty
Jun 30, 2019 Change of OwnershipThis provider was the buyer Four Seasons Nursing & Rehabilitation Certified Home Health AgencyCCN 337434, NY, NPI 1477554723

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1093367039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-307-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSNR CHHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "ZELCER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-927-6346"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Nursing and Reahbilitation Certified Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.