Organization Active NPI

The William Breman Jewish Home, Inc.

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1154369635
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE WILLIAM BREMAN JEWISH HOME, INC.
Practice address
3150 Howell Mill Rd NW
Atlanta, GA 30327-2108
Phone
(404) 351-2324
Fax
(404) 351-6698
NPI assigned
Jun 4, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Ms. Neelam Rahatekar
Title
Cfo-Coo
Phone
(404) 351-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X GA Primary

Addresses

Primary practice location

3150 Howell Mill Rd NW
Atlanta, GA 30327-2108

Mailing address

3150 Howell Mill Rd NW
Atlanta, GA 30327-2108
Phone (404) 351-2324

Other identifiers 1

IdentifierTypeStateIssuer
00040752AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030424000031 GA Part A Provider - Skilled Nursing Facility 6507775350 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154369635. Details of each certification follow.

Skilled nursing facility certification: CCN 115022

Legal name
THE WILLIAM BREMAN JEWISH HOME, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Dec 12, 2024
Beds
96
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 30, 1949 in GA
Enrollment address
3150 Howell Mill Rd NW
Atlanta, GA 30327-2199
Nursing home name
THE WILLIAM BREMAN JEWISH HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
The William Breman Jewish HomeCCN 115022 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9687.1 residents per day on average

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
11D0645886William Breman Jewish Home3150 Howell Mill Rd NW, Atlanta, GA 30327Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jeffrey Gopen Individual Operational/Managerial ControlCeo Feb 6, 2017 100%
Neelam Rahatekar Individual Operational/Managerial ControlController Mar 15, 2006 100%

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1154369635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HOWELL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272108",
            "telephone_number": "404-351-2324",
            "fax_number": "404-351-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HOWELL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272108",
            "telephone_number": "404-351-2324",
            "fax_number": "404-351-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLIAM BREMAN JEWISH HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "RAHATEKAR",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_title_or_position": "CFO-COO",
        "authorized_official_telephone_number": "404-351-1934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040752A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.