NPIMap

Organization Active NPI

Highland Manor Nursing & Rehabilitation, LLC

  • Skilled Nursing Facility
  • Exeter, PA
National Provider Identifier
1104240811
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HIGHLAND MANOR NURSING & REHABILITATION, LLC
Practice address
750 Schooley Ave
Exeter, PA 18643-9380
Phone
(570) 655-3791
NPI assigned
Feb 17, 2014
Organization subpart
No

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 36

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

View all 36

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Highland Manor Rehabilitation and Nursing CenterCCN 395566
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120109.6 residents per day on average
Chain
Continuum Healthcare13 facilities in the chain
Penalties (3 years)
1Fines totaling $19,760

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
39D0192855Highland Manor Rehabilitation & Nursing Center750 Schooley Ave, Exeter, PA 18643Certificate of waiverAug 31, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813001462 PA Part A Provider - Skilled Nursing Facility 9335366491 Practice locations: Exeter, PA

Skilled nursing facility certification: CCN 395566

Legal name
HIGHLAND MANOR NURSING & REHABILITATION LLC
Doing business as
HIGHLAND MANOR REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1983
Last certification
Dec 19, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Most recent change of ownership
Jun 18, 2014
Organization structure
LLCProprietary
Incorporated
Jan 7, 2014 in NJ
Enrollment address
750 Schooley Ave
Exeter, PA 18643-9380
Nursing home name
HIGHLAND MANOR REHABILITATION AND NURSING CENTER
Affiliated entity
CONTINUUM HEALTHCARE

All disclosed owners & managing parties 16

Medicare enrollment files

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

NameRoleSinceShare
Stonebridge Healthcare Member III LLC Organization, Englewood Cliffs, NJ LLC Adp of the SNF Oct 3, 2019
Daniel Bruckstein Individual Adp of the SNF Oct 3, 2019
Cheryl Dorn Individual Operational/Managerial Control Feb 1, 2022
Warren Litman Individual Corporate DirectorDirector of Finance Jun 1, 2024
Operational/Managerial Control Jun 1, 2024
Highland Manor Real Property, LLC Organization, Exeter, PA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 3, 2019 100%
Adp of the SNF Oct 3, 2019
Travis Martin Individual Operational/Managerial Control Jan 29, 2024
Adp of the SNF Jan 29, 2024
Daniel Mandelbaum Individual Operational/Managerial Control Jun 1, 2019
Stonebridge Healthcare Holdings LLC Organization, Englewood Cliffs, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 3, 2019 100%
Adp of the SNF Oct 3, 2019
Execucare Associates Organization, Jackson, NJ LLC Operational/Managerial Control Jan 15, 2025
Adp of the SNF May 8, 2025
Twomagnets LLC Organization, Covina, CA Corporation Operational/Managerial Control Nov 2, 2022
Adp of the SNF May 8, 2025
Stonebridge Healthcare Member I LLC Organization, Englewood Cliffs, NJ LLC Adp of the SNF Oct 3, 2019
Robert L Bruckstein Individual 5% Or Greater Direct Ownership Interest Oct 3, 2019 5.4%
Adp of the SNF Oct 3, 2019
Kevin K Musto Individual Operational/Managerial Control Oct 3, 2019
Adp of the SNF Oct 3, 2019
Leshkowitz & Company LLP Organization, New York, NY Operational/Managerial Control Jan 1, 2020
Adp of the SNF May 8, 2025
Continuum Healthcare I Inc Organization, Englewood Cliffs, NJ Corporation, Management services company Operational/Managerial Control Oct 3, 2019
Adp of the SNF May 8, 2025
Stonebridge Healthcare Member II LLC Organization, Englewood Cliffs, NJ LLC Adp of the SNF Oct 3, 2019

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Mr. Daniel Bruckstein
Title
Managing Member
Phone
(516) 507-8465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

750 Schooley Ave
Exeter, PA 18643-9380

Mailing address

180 Sylvan Ave
Englewood Cliffs, NJ 07632-2512
Phone (516) 507-8465

Other names 1

  • Highland Manor Rehabilitation And Nursing Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1104240811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322512",
            "telephone_number": "516-507-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SCHOOLEY AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186439380",
            "telephone_number": "570-655-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND MANOR NURSING & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BRUCKSTEIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-507-8465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Manor Rehabilitation And Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exeter, PA

Sources for this page

Verify at the official NPI Registry.