NPIMap

Organization Active NPI

Lakeside Rehabilitation & Nursing, LLC

Doing business as Kadima Rehabilitation & Nursing at Lakeside

  • Skilled Nursing Facility
  • Dallas, PA
National Provider Identifier
1174015853
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKESIDE REHABILITATION & NURSING, LLC
Doing business as
Kadima Rehabilitation & Nursing at Lakeside
Practice address
245 Old Lake Rd
Dallas, PA 18612-3154
Phone
(570) 639-1885
Fax
(570) 639-5163
NPI assigned
May 30, 2018
Last updated
May 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Jonathan Strauss
Title
Member
Phone
(201) 214-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

245 Old Lake Rd
Dallas, PA 18612-3154

Mailing address

245 Old Lake Rd
Dallas, PA 18612-3154
Phone (570) 639-1885

Other names 1

  • Kadima Rehabilitation & Nursing at Lakeside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181002001728 PA Part A Provider - Skilled Nursing Facility 9133471121 Practice locations: Dallas, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174015853. Details of each certification follow.

Skilled nursing facility certification: CCN 395730

Legal name
LAKESIDE REHABILITATION & NURSING, LLC
Doing business as
KADIMA REHABILITATION & NURSING AT LAKESIDE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1987
Last certification
Nov 21, 2024
Beds
31
Ownership / control type
Partnership
Multi-facility organization
Kadima Healthcare
Organization structure
LLCProprietary
Incorporated
Mar 14, 2018 in PA
Enrollment address
245 Old Lake Rd
Dallas, PA 18612-3154
Nursing home name
KADIMA REHABILITATION & NURSING AT LAKESIDE
Affiliated entity
KADIMA HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kadima Rehabilitation & Nursing at LakesideCCN 395730 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jun 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3128.3 residents per day on average
Chain
Kadima Healthcare Group14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Pinnacle Healthcare Solutions, Inc. Organization, Toms River, NJ Corporation, Consulting firm Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 19, 2025
Martin Friedman Cpa PC Organization, Brooklyn, NY Corporation, Consulting firm Adp of the SNF Jan 1, 2025
Kadima Healthcare Group Inc Organization, Teaneck, NJ Corporation, Management services company, For-profit Operational/Managerial Control Aug 29, 2018 100%
Adp of the SNF Nov 18, 2025
Thomas B Lowden Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 1, 2025
Daniel a Morris Individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 50%
Operational/Managerial Control Aug 29, 2018
Adp of the SNF Aug 29, 2018
Robert J Pearlstein Individual Adp of the SNF Jan 1, 2021
Jonathan J Strauss Individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 50%
Operational/Managerial Control Aug 29, 2018
Adp of the SNF Aug 29, 2018
Emily Pachamovitch Individual Operational/Managerial Control Nov 8, 2021
Adp of the SNF Nov 8, 2021
Lakeside Property Managment LLC Organization, Hackensack, NJ Created for acquisition, LLC 5% Or Greater Mortgage Interest Aug 29, 2018 100%
Adp of the SNF Aug 29, 2018
Andrea Harkins Individual Operational/Managerial Control Sep 15, 2025
Adp of the SNF Sep 15, 2025
Cibc Bank USA Organization, Chicago, IL Financial institution, Consulting firm, Owned by another organization or individual 5% Or Greater Mortgage Interest Aug 6, 2025 100%
Operational/Managerial Control Aug 6, 2025
Judith Ragukas Individual Operational/Managerial Control Nov 27, 2024
Adp of the SNF Nov 27, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 91

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 91

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1174015853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 OLD LAKE RD",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186123154",
            "telephone_number": "570-639-1885",
            "fax_number": "570-639-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 OLD LAKE RD",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186123154",
            "telephone_number": "570-639-1885",
            "fax_number": "570-639-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE REHABILITATION & NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-214-8889"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kadima Rehabilitation & Nursing at Lakeside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, PA

Sources for this page

Verify at the official NPI Registry.