NPIMap

Organization Active NPI

Via Christi Village Pittsburg KS LLC

  • Skilled Nursing Facility
  • Pittsburg, KS
National Provider Identifier
1104628122
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VIA CHRISTI VILLAGE PITTSBURG KS LLC
Practice address
1502 E Centennial Dr
Pittsburg, KS 66762-6718
Phone
(620) 235-0020
NPI assigned
Mar 27, 2025
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Zisha Margulies
Title
Manager
Phone
(718) 942-3483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1502 E Centennial Dr
Pittsburg, KS 66762-6718

Mailing address

2420 Knapp St
Brooklyn, NY 11235-1006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729001603 KS Part A Provider - Skilled Nursing Facility 0749797348 Practice locations: Pittsburg, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104628122. Details of each certification follow.

Skilled nursing facility certification: CCN 175465

Legal name
VIA CHRISTI VILLAGE PITTSBURG KS LLC
Doing business as
VIA CHRISTI VILLAGE PITTSBURG
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 3, 2003
Last certification
Oct 21, 2024
Beds
136 (96 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Ascension Living
Most recent change of ownership
Jul 1, 2025
Organization structure
LLCProprietary
Enrollment address
1502 E Centennial Dr
Pittsburg, KS 66762-6718
Nursing home name
VIA CHRISTI VILLAGE PITTSBURG
Affiliated entity
RECOVER-CARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Via Christi Village PittsburgCCN 175465 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 3, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9683.6 residents per day on average
Chain
Recover-Care Healthcare27 facilities in the chain
Penalties (3 years)
1Fines totaling $13,397

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Organization, Brooklyn, NY Adp of the SNF Jul 1, 2025
Wetr Trust Organization, Rapid City, SD Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 16.66%
Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Mindi Suzanne Garner Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF May 26, 2025
BHNV LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 28, 2025 22.5%
Avrohom Goldstein Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 22.5%
Miriam Halberstam Individual Indirect Ownership Interest Jul 1, 2025 2.49%
ZM SNF Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jul 1, 2025 22.5%
RNR Holdings LLC Organization, Rapid City, SD LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 16.66%
MRC SNF Management LLC Organization, Brooklyn, NY LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2025
Adp of the SNF May 26, 2025
Kamna Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jul 1, 2025 4.99%
Heartland Recovery LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jul 1, 2025 99.9%
Organization, Brooklyn, NY Adp of the SNF Jul 1, 2025
Kfar Habor LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jun 9, 2025
Zisha Margulies Individual 5% Or Greater Indirect Ownership InterestManaging Member Jul 1, 2025 22.5%
Corporate DirectorCeo Jul 1, 2025
Mad Family Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 16.66%
Amy Bailey Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 3, 2025
Organization, Far Rockaway, NY Adp of the SNF Jul 1, 2025
Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Rarmna Holdings LLC Organization, Rapid City, SD LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 16.67%
Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jul 1, 2025 0.1%
Moshe Halberstam Individual Indirect Ownership Interest Jul 1, 2025 2.49%
Recover-Care SNF Holdings 200 LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Indirect Ownership Interest Jul 1, 2025 27.5%
Ratr Trust Organization, Rapid City, SD Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 16.67%
Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Natr Trust Organization, Rapid City, SD Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 16.66%
Kansas Healthcare Holdings 200 LLC Organization, Brooklyn, NY LLC, Holding company, For-profit Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 50%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1104628122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626718",
            "telephone_number": "620-235-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CHRISTI VILLAGE PITTSBURG KS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "ZISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.