Organization Active NPI

Pavilion Operations, LLC

  • Skilled Nursing Facility
  • Corning, NY
National Provider Identifier
1104266238
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PAVILION OPERATIONS, LLC
Doing business as
Corning Center for Rehabilitation and Healthcare
Practice address
205 E 1St St
Corning, NY 14830-2809
Phone
(718) 931-9700
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

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

Authorized official

Name
Kenneth Rozenberg
Title
Member
Phone
(718) 931-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

205 E 1St St
Corning, NY 14830-2809

Mailing address

4770 White Plains Rd
Bronx, NY 10470-1104

Other identifiers 1

IdentifierTypeStateIssuer
00352185MedicaidNY

Other names 1

  • Corning Center for Rehabilitation and Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130912000100 NY Part A Provider - Skilled Nursing Facility 6709020860 Practice locations: Corning, NY

Skilled nursing facility certification: CCN 335330

Legal name
PAVILION OPERATIONS, LLC
Doing business as
CORNING CENTER FOR REHABILITATION AND HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1971
Last certification
Mar 1, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Centers Healthcare
Most recent change of ownership
Sep 15, 2003
Organization structure
LLCProprietary
Enrollment address
205E 1St St
Corning, NY 14830-2809
Nursing home name
CORNING CENTER FOR REHABILITATION AND HEALTHCARE
Affiliated entity
CENTERS HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Corning Center for Rehabilitation and HealthcareCCN 335330 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.0 residents per day on average
Chain
Centers Health Care36 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Kayleigh Smith Individual Operational/Managerial Control Nov 8, 2016
Adp of the SNF Mar 16, 2025
Organization, Bronx, NY Corporation, Medical provider/supplier, Medical staffing company, For-profit Adp of the SNF Oct 30, 2025
Abraham Bronner Individual 5% Or Greater Direct Ownership InterestMember May 1, 2015 5%
Adp of the SNF Jun 30, 2013
Individual Adp of the SNF May 1, 2015
Gedalia Klein Individual 5% Or Greater Direct Ownership InterestMember May 1, 2015 5%
Darshan Patel Individual Operational/Managerial Control Jun 9, 2025
Adp of the SNF Jun 9, 2025
Aharon Lantzitsky Individual Managing Control - Governing Body Jan 1, 2025
Individual Adp of the SNF Jun 30, 2013
Nathan Goldman Individual Managing Control - Governing Body Jan 1, 2025
David Greenberg Individual 5% Or Greater Direct Ownership InterestMember May 1, 2015 5%
Amir Abramchik Individual 5% Or Greater Direct Ownership Interest May 1, 2015 11%
Managing Control - Governing Body Jan 1, 2025
Adp of the SNF Jun 1, 2012
Jeffrey Sicklick Individual 5% Or Greater Direct Ownership InterestMember May 1, 2015 9%
Organization, Brooklyn, NY For-profit Adp of the SNF Feb 27, 2025
Organization, Atlanta, GA LLC, Financial institution, For-profit Adp of the SNF May 27, 2020
Kenneth Rozenberg Individual 5% Or Greater Direct Ownership Interest May 1, 2015 58%
Managing Control - Governing Body Jan 1, 2025
Estate of Shterna Werner Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 7%
Individual Adp of the SNF Apr 9, 2018
Individual Adp of the SNF Jun 30, 2013
Organization, Bronx, NY LLC, For-profit Adp of the SNF Jun 30, 2013
Organization, Bronx, NY LLC, Consulting firm, For-profit Adp of the SNF Apr 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553990400000",
    "number": "1104266238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302809",
            "telephone_number": "718-931-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2019-03-31",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00352185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corning Center for Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corning Center for Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.