Organization Active NPI

Heisinger Bluffs Nursing and Rehab LLC

Doing business as Heisinger Bluffs Rehab and Healthcare Center

  • Skilled Nursing Facility
  • Jefferson City, MO
National Provider Identifier
1124740857
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEISINGER BLUFFS NURSING AND REHAB LLC
Doing business as
Heisinger Bluffs Rehab and Healthcare Center
Practice address
1002 W Main St
Jefferson City, MO 65109-6901
Phone
(573) 636-6288
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Elazar Fischer
Title
Manager
Phone
(848) 224-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1002 W Main St
Jefferson City, MO 65109-6901

Mailing address

1135 E Veterans Hwy Ste 1
Jackson, NJ 08527-5090

Other names 1

  • Heisinger Bluffs Rehab and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107002693 MO Part A Provider - Skilled Nursing Facility 7719354646 Practice locations: Jefferson City, MO

Skilled nursing facility certification: CCN 265794

Legal name
HEISINGER BLUFFS NURSING AND REHAB LLC
Doing business as
HEISINGER BLUFFS REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 2005
Last certification
Mar 28, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
GREENTREE HEALTHCARE MANAGEMENT
Most recent change of ownership
Oct 1, 2022
Organization structure
LLCProprietary
Enrollment address
1002 W Main St
Jefferson City, MO 65109-6901
Nursing home name
HEISINGER BLUFFS REHAB AND HEALTHCARE CENTER
Affiliated entity
GREEN TREE HEALTH MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heisinger Bluffs Rehab and Healthcare CenterCCN 265794 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 5, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.9 residents per day on average
Chain
Green Tree Health Management8 facilities in the chain

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
26D0671795Heisinger Bluffs Nursing and Rehab LLC1002 West Main Street, Jefferson City, MO 65109Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
SJ Family Trust Organization Adp of the SNF Oct 1, 2022
Indirect Ownership Interest Oct 1, 2022 25.09%
Nicole J Albin Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Jul 4, 2025
HB Operations Holdco LLC Organization Created for acquisition, Holding company, Owned by another organization or individual Direct Ownership Interest Oct 1, 2022 100%
Ads Capital Trust Organization Adp of the SNF Oct 1, 2022
Indirect Ownership Interest Oct 1, 2022 25.09%
Baruch Jeremias Individual Trustee of the SNF Oct 1, 2022
1026 Enterprises II, LLC Organization LLC Adp of the SNF Oct 1, 2022
Indirect Ownership Interest Oct 1, 2022 40%
Individual Trustee of the SNF Oct 1, 2022
SJ Healthcare Capital LLC Organization LLC Adp of the SNF Oct 1, 2022
Indirect Ownership Interest Oct 1, 2022 26.38%
Individual Trustee of the SNF Oct 1, 2022
PC8 Capital Group LLC Organization LLC Adp of the SNF Oct 1, 2022
Indirect Ownership Interest Oct 1, 2022 26.38%
Individual Trustee of the SNF Oct 1, 2022
10-26 Nationwide TR Organization Adp of the SNF Oct 1, 2022
Indirect Ownership Interest Oct 1, 2022 38.04%
Aharon Stern Individual Operational/Managerial Control Oct 1, 2022
Ashley Drewel Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Oct 1, 2022
Simon J Stern Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Oct 1, 2022

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1124740857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E VETERANS HWY STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096901",
            "telephone_number": "573-636-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEISINGER BLUFFS NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "ELAZAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "848-224-3208"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heisinger Bluffs Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.