Main Street Operating LLC
Organization Active NPI Skilled Nursing Facility · Van Buren, AR
NPI 1134820541 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1134820541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- MAIN STREET OPERATING LLC
- Practice address
- 2010 Main St
Van Buren, AR 72956-4957 - Phone
- (479) 474-6885
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Israel Ganz
- Title
- Director
- Phone
- (732) 366-5705
Owners & managing parties with NPI records 3
-
Philip Dunn Elangwe, M.D.
Facilities with the same owner 22
Practitioners 1
-
Philip Dunn Elangwe, M.D.
Affiliated clinicians 1
-
Philip Dunn Elangwe, M.D.
Medicare Care Compare: Nursing home
- Listed as
- The Blossoms at Van Buren Rehab and Nursing Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1997
- Medicare certification status
- Active
- Certified beds
- 129 · 104.5 residents per day on average
- Chain
- The Blossoms Rehab & Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Skilled nursing facility certification: CCN 045326
- Legal name
- MAIN STREET OPERATING LLC
- Doing business as
- THE BLOSSOMS AT VAN BUREN REHAB & NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1997
- Last certification
- May 2, 2025
- Beds
- 129
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jul 1, 2018
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 28, 2023 in AR
- Enrollment address
- 2010 Main St
Van Buren, AR 72956-4957 - Nursing home name
- THE BLOSSOMS AT VAN BUREN REHAB AND NURSING CENTER
- Affiliated entity
- THE BLOSSOMS REHAB & NURSING CENTER
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Reliant Pro Rehab LLC |
Adp of the SNF | Apr 5, 2023 | |
| Matisyohu Herzka |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 33.33% |
| Sisah Staffing Solutions LLC |
Operational/Managerial Control | Apr 5, 2023 | |
| Adp of the SNF | Apr 5, 2023 | ||
| Aks Ar Opco LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 33.34% |
| Enrique J Gomez |
Operational/Managerial Control | Jul 6, 2024 | |
| Adp of the SNF | Jul 6, 2024 | ||
| Abraham Schreiber |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 33.34% |
| Missouri LTC Pharmacy LLC |
Adp of the SNF | Apr 1, 2023 | |
| Diamond Opco Holding LLC |
5% Or Greater Direct Ownership Interest | Apr 5, 2023 | 100% |
| MH Ar Opco LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 33.33% |
| ZCS Ar Opco LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 33.33% |
| |
Adp of the SNF | Apr 5, 2023 | |
| Oasis Health Care Group, LLC |
Operational/Managerial Control | Apr 5, 2023 | |
| Adp of the SNF | Apr 5, 2023 | ||
| Philip D Elangwe |
Adp of the SNF | Apr 1, 2023 | |
| Shlomo Z Scheinbaum |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 33.33% |
| Operational/Managerial Control | Apr 5, 2023 | ||
| Adp of the SNF | Apr 5, 2023 | ||
| |
Adp of the SNF | Apr 5, 2023 | |
| |
Adp of the SNF | Mar 15, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240724003564 | AR | Part a Provider - Skilled Nursing Facility | 3274079314 | Practice locations: Van Buren, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2010 Main St
Van Buren, AR 72956-4957
Mailing address
1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048
Phone (732) 366-5705
Other providers in Van Buren, AR
- Lauren Lucky-King
- Aime Mbaya Lufulwabo
- Lumina Revenue Cycle Management LLC
- Angila Lee Luper
- Yesenia Macias
- Sara Mainer
- Manes Pharmacy, Inc
- Lisa M Manes-Mankins
- Raelene A Mapes
- Amity Sparks Marcial
All providers in Van Buren, AR · Skilled Nursing Facility in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.