Port Chester Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5906304N Issued in NY

Legal business name

PORT CHESTER OPERATING LLC

Practice address

1000 High St
Port Chester, NY 10573-4402

Phone

(201) 731-1700

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Mark Friedman

Title

Owner

Phone

(201) 731-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PORT CHESTER NURSING & REHAB CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335312

Legal name

PORT CHESTER OPERATING LLC

Doing business as

THE ENCLAVE AT PORT CHESTER REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1979

Last certification

Dec 13, 2023

Beds

160

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 4, 2014 in NY

Enrollment address

1000 High St
Port Chester, NY 10573-4402

Nursing home name

THE ENCLAVE AT RYE REHAB AND NURSING CTR

Affiliated entity

CARERITE CENTERS

Listed as

The Enclave At Rye Rehab And Nursing CtrCCN 335312

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160152.0 residents per day on average

Chain

Carerite Centers34 facilities in the chain

Penalties (3 years)

1Fines totaling $63,210

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 1

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

• Radim Jacob

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1669935128

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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

• Rajasekhar Buddhavarapu, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013971498
  NPD (past)
• Abiola Olawale Familusi, MD

  • Internal Medicine Physician
  • Blanchester, OH
  • NPI 1649351214
  NPD (past)
• Radim Jacob

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1669935128
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anurag K Anand, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sleepy Hollow, NY
  • NPI 1861494916

  Nursing home

  Care Compare affiliation
• Rajasekhar Buddhavarapu, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013971498

  Nursing home

  Care Compare affiliation
• Adnan K Diwan, MD

  • Internal Medicine Physician
  • Rye, NY
  • NPI 1144279878

  Nursing home

  Care Compare affiliation
• Mario Mutic, MD

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1083681993

  Nursing home

  Care Compare affiliation
• Radim Jacob

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1669935128

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1154774271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734402",
            "telephone_number": "201-731-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734402",
            "telephone_number": "201-731-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CHESTER OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-731-1700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5906304N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRE PROVIDER #",
            "identifier": "335312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORT CHESTER NURSING & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly Erin Plymel, CPNP-PC
• Cynthia Poletsky, R.N.
• Angel Bautista Polimeni, MD
• Port Chester Carver Center Inc
• Port Chester Eyecare Inc
• Port Chester-Rye-Rye Brook Emergency Medical Services Inc
• Paulette P Porteous-Cole, D.D.S.
• Loretta Lena Pouso, D.D.S.
• Kristen Helen Powers
• Destiny Precious Price

• All providers in Port Chester, NY
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.

Verify at the official NPI Registry.