Organization Active NPI

Wyncote Care LLC

  • Skilled Nursing Facility
  • Wyncote, PA
National Provider Identifier
1144044645
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WYNCOTE CARE LLC
Practice address
208 Fernbrook Ave
Wyncote, PA 19095-1532
Phone
(347) 773-6070
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Seth Probst
Title
Manager
Phone
(347) 773-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

208 Fernbrook Ave
Wyncote, PA 19095-1532

Mailing address

1166 E 27TH St
Brooklyn, NY 11210-4621
Phone (347) 773-6070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904003499 PA Part A Provider - Skilled Nursing Facility 2567964083 Practice locations: Wnycote, PA

Skilled nursing facility certification: CCN 396120

Legal name
WYNCOTE CARE LLC
Doing business as
WYNCOTE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 25, 2008
Last certification
Dec 19, 2024
Beds
58
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
208 Fernbrook Avenue
Wnycote, PA 19095-1532
Nursing home name
WYNCOTE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wyncote Care CenterCCN 396120
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 25, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5845.9 residents per day on average
Penalties (3 years)
1Fines totaling $4,194

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
39D1079589Wyncote Care Center208 Fernbrook Ave, Wyncote, PA 19095Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Shlomo Cherns Individual 5% Or Greater Direct Ownership Interest May 1, 2025 20%
Adp of the SNF May 1, 2025
Wyncote Prime LLC Organization, Brooklyn, NY LLC Adp of the SNF May 1, 2025
Thelf Holdings, LLC Organization, Monsey, NY LLC, Holding company Adp of the SNF May 1, 2025
Inas Ali Individual Operational/Managerial Control May 1, 2025
Managing Control - Governing Body May 1, 2025
Adp of the SNF May 1, 2025
Seth Probst Individual 5% Or Greater Direct Ownership InterestManager May 1, 2025 60%
Operational/Managerial Control May 1, 2025
Managing Control - Governing BodyOwner Representative May 1, 2025
Adp of the SNF May 1, 2025
Individual Adp of the SNF May 1, 2025
Leibel Gutman Individual 5% Or Greater Direct Ownership Interest May 1, 2025 20%
208 Fernbrook Ave Realty LLC Organization, Brooklyn, NY LLC Adp of the SNF May 1, 2025
Gerald J Hansen Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Individual Adp of the SNF May 1, 2025
Individual Adp of the SNF May 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.

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 3

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": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1144044645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104621",
            "telephone_number": "347-773-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FERNBROOK AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951532",
            "telephone_number": "347-773-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNCOTE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "PROBST",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-773-6070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

Verify at the official NPI Registry.