Active NPI
Wyncote Care LLC
- Skilled Nursing Facility
- Wyncote, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 25, 2008
- Medicare certification status
- Active
- Certified beds
- 58
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1079589 | Wyncote Care Center | Certificate of waiver | Feb 3, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shlomo Cherns | 5% Or Greater Direct Ownership Interest | May 1, 2025 | 20% |
| Adp of the SNF | May 1, 2025 | ||
| Wyncote Prime LLC | Adp of the SNF | May 1, 2025 | |
| Thelf Holdings, LLC | Adp of the SNF | May 1, 2025 | |
| Inas Ali | Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Seth Probst | 5% Or Greater Direct Ownership Interest | May 1, 2025 | 60% |
| Operational/Managerial Control | May 1, 2025 | ||
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Leibel Gutman | 5% Or Greater Direct Ownership Interest | May 1, 2025 | 20% |
| 208 Fernbrook Ave Realty LLC | Adp of the SNF | May 1, 2025 | |
| Gerald J Hansen | Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| 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.
-
- Family Medicine Physician
- Jenkintown, PA
- NPI 1417957838
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Jenkintown, PA
- NPI 1417957838
-
- Internal Medicine Physician
- Toms River, NJ
- NPI 1902284680
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Jenkintown, PA
- NPI 1982864328
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.