Active NPI
Emerald Nursing & Rehab Legacy Pointe
- Skilled Nursing Facility
- Omaha, NE
National Provider Identifier
1154084713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMERALD NURSING & REHAB LEGACY POINTE
- Practice address
- 3110 Scott Cir
Omaha, NE 68112-2604 - Phone
- (516) 399-3051
- NPI assigned
- Oct 20, 2021
- 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
- Brian Gopin
- Title
- Cfo
- Phone
- (516) 504-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3110 Scott Cir
Omaha, NE 68112-2604
Mailing address
945 N Central Ave
Woodmere, NY 11598-1604
Phone (516) 399-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220622000288 | NE | Part A Provider - Skilled Nursing Facility | 9931588993 | Practice locations: Omaha, NE |
Skilled nursing facility certification: CCN 285239
- Legal name
- EMERALD NURSING & REHAB LEGACY POINTE LLC
- Doing business as
- EMERALD NURSING & REHAB LEGACY POINTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 2000
- Last certification
- May 23, 2024
- Beds
- 108
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Sep 30, 2021 in NE
- Enrollment address
- 3110 Scott Cir
Omaha, NE 68112-2604 - Nursing home name
- EMERALD NURSING & REHAB LEGACY POINTE LLC
- Affiliated entity
- EMERALD HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Emerald Nursing & Rehab Legacy Pointe llc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 2000
- Medicare certification status
- Active
- Certified beds
- 108
- Chain
- Emerald Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 9
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Ephram M Lahasky | 5% Or Greater Indirect Ownership Interest | Apr 29, 2022 | 33.34% |
| Jacob I Walden | 5% Or Greater Indirect Ownership Interest | Apr 29, 2022 | 33.33% |
| Corporate Director | Apr 29, 2022 | 50% | |
| Operational/Managerial Control | Apr 29, 2022 | 50% | |
| Yisroel I Chafetz | 5% Or Greater Indirect Ownership Interest | Apr 29, 2022 | 33.33% |
| Corporate Director | Apr 29, 2022 | 50% | |
| Operational/Managerial Control | Apr 29, 2022 | 50% | |
| Legacy Pointe Opco Holdings LLC | 5% Or Greater Indirect Ownership Interest | Apr 29, 2022 | 100% |
| Cheryl L. Runyan | W-2 Managing Employee | Apr 29, 2022 | 100% |
| Emerald Nursing & Rehab Legacy Pointe LLC | 5% Or Greater Direct Ownership Interest | Apr 29, 2022 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1043253222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1154084713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 N CENTRAL AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981604",
"telephone_number": "516-399-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 SCOTT CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681122604",
"telephone_number": "516-399-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD NURSING & REHAB LEGACY POINTE",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A",
"authorized_official_last_name": "GOPIN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "516-504-9797"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.