Active NPI
Pavilion Operations, LLC
- Skilled Nursing Facility
- Corning, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00352185 | Medicaid | NY |
Other names 1
- Corning Center for Rehabilitation and Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1971
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Centers Health Care
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kayleigh Smith | Operational/Managerial Control | Nov 8, 2016 | |
| Adp of the SNF | Mar 16, 2025 | ||
| Adp of the SNF | Oct 30, 2025 | ||
| Abraham Bronner | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 5% |
| Adp of the SNF | Jun 30, 2013 | ||
| Adp of the SNF | May 1, 2015 | ||
| Gedalia Klein | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 5% |
| Darshan Patel | Operational/Managerial Control | Jun 9, 2025 | |
| Adp of the SNF | Jun 9, 2025 | ||
| Aharon Lantzitsky | Managing Control - Governing Body | Jan 1, 2025 | |
| Adp of the SNF | Jun 30, 2013 | ||
| Nathan Goldman | Managing Control - Governing Body | Jan 1, 2025 | |
| David Greenberg | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 5% |
| Amir Abramchik | 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 | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 9% |
| Adp of the SNF | Feb 27, 2025 | ||
| Adp of the SNF | May 27, 2020 | ||
| Kenneth Rozenberg | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 58% |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Estate of Shterna Werner | 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 7% |
| Adp of the SNF | Apr 9, 2018 | ||
| Adp of the SNF | Jun 30, 2013 | ||
| Adp of the SNF | Jun 30, 2013 | ||
| 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.
-
- Hospitalist Physician
- Cortland, NY
- NPI 1962662957
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1942272653
-
- Internal Medicine Physician
- Rome, NY
- NPI 1457492688
-
- Internal Medicine Physician
- Monsey, NY
- NPI 1760427231
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.