NPIMap

Organization Active NPI

Golden Gate Rehabilitation & Health Care Center LLC

  • Skilled Nursing Facility
  • Staten Island, NY
National Provider Identifier
1174510648
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7004315N Issued in NY
Legal business name
GOLDEN GATE REHABILITATION & HEALTH CARE CENTER LLC
Practice address
191 Bradley Ave
Staten Island, NY 10314-5166
Phone
(718) 698-8800
Fax
(718) 494-4472
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Maria Lorenzo
Title
Administrative Assistant
Phone
(718) 698-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7004315N NY Primary

Addresses

Primary practice location

191 Bradley Ave
Staten Island, NY 10314-5166

Mailing address

191 Bradley Ave
Staten Island, NY 10314-5166
Phone (718) 698-8800

Other identifiers 1

IdentifierTypeStateIssuer
00312336MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121113000156 NY Part A Provider - Skilled Nursing Facility 7719138122 Practice locations: Staten Island, NY

Skilled nursing facility certification: CCN 335502

Legal name
GOLDEN GATE REHABILITATION & HEALTH CARE CENTER LLC
Doing business as
GOLDEN GATE REHABILITATION AND HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1976
Last certification
May 29, 2024
Beds
238
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
May 26, 2000 in NY
Enrollment address
191 Bradley Ave
Staten Island, NY 10314-5166
Nursing home name
GOLDEN GATE REHABILITATION & HEALTH CARE CENTER
Affiliated entity
BENJAMIN LANDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Golden Gate Rehabilitation & Health Care CenterCCN 335502 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
238228.8 residents per day on average
Chain
Benjamin Landa48 facilities in the chain

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
33D0930382Golden Gate Rehab & Health Care Center191 Bradley Ave, Staten Island, NY 10314Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Organization, Brooklyn, NY Direct Ownership Interest Aug 1, 2001 2%
Estate of Deborah Philipson Organization, Spring Valley, NY 5% Or Greater Direct Ownership Interest Jun 3, 2022 29%
Adp of the SNF Jun 3, 2022
Individual Adp of the SNF Jun 24, 2013
Judah Hoffner Individual Operational/Managerial Control Jun 24, 2013
Adp of the SNF Jun 24, 2013
Individual Adp of the SNF Aug 1, 2001
Estate of Mayer Rispler Organization, Brooklyn, NY 5% Or Greater Direct Ownership Interest Jun 6, 2022 5%
Adp of the SNF Jun 6, 2022
Lucinda Ripoll Individual Operational/Managerial Control Aug 1, 2001
Adp of the SNF Aug 1, 2001
Individual Direct Ownership Interest Aug 1, 2001 2%
Benjamin Landa Individual 5% Or Greater Direct Ownership InterestPresident Aug 1, 2001 62%
Operational/Managerial Control Aug 1, 2001
Managing Control - Governing BodyPresident Aug 1, 2001
Adp of the SNF Aug 1, 2001

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 3

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

Practitioners & affiliated clinicians

Practitioners 3

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

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1174510648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BRADLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145166",
            "telephone_number": "718-698-8800",
            "fax_number": "718-494-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BRADLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145166",
            "telephone_number": "718-698-8800",
            "fax_number": "718-494-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE REHABILITATION & HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "718-698-8800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7004315N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.