NPIMap

Organization Active NPI

Main Street Operating LLC

  • Skilled Nursing Facility
  • Van Buren, AR
National Provider Identifier
1134820541
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Israel Ganz
Title
Director
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724003564 AR Part A Provider - Skilled Nursing Facility 3274079314 Practice locations: Van Buren, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134820541. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Blossoms at Van Buren Rehab and Nursing CenterCCN 045326 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
129104.5 residents per day on average
Chain
The Blossoms Rehab & Nursing Center23 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 16

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

NameRoleSinceShare
Reliant Pro Rehab LLC Organization, Plano, TX LLC Adp of the SNF Apr 5, 2023
Matisyohu Herzka Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
Sisah Staffing Solutions LLC Organization, Newark, NJ LLC, Medical staffing company Operational/Managerial Control Apr 5, 2023
Adp of the SNF Apr 5, 2023
Aks Ar Opco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.34%
Enrique J Gomez Individual Operational/Managerial Control Jul 6, 2024
Adp of the SNF Jul 6, 2024
Abraham Schreiber Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.34%
Missouri LTC Pharmacy LLC Organization, Fenton, MO LLC, Medical provider/supplier Adp of the SNF Apr 1, 2023
Diamond Opco Holding LLC Organization, Hot Springs, AR LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 5, 2023 100%
MH Ar Opco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
ZCS Ar Opco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
Organization, Lakewood, NJ LLC, Consulting firm Adp of the SNF Apr 5, 2023
Oasis Health Care Group, LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Apr 5, 2023
Adp of the SNF Apr 5, 2023
Philip D Elangwe Individual Adp of the SNF Apr 1, 2023
Shlomo Z Scheinbaum Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
Operational/Managerial Control Apr 5, 2023
Adp of the SNF Apr 5, 2023
Organization, Lakewood, NJ Corporation, Financial institution, Consulting firm Adp of the SNF Apr 5, 2023
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Mar 15, 2021

Owners & managing parties with NPI records 3

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1134820541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564957",
            "telephone_number": "479-474-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.