Organization Active NPI

Fordsville Opco LLC

  • Skilled Nursing Facility
  • Fordsville, KY
National Provider Identifier
1194200485
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FORDSVILLE OPCO LLC
Practice address
313 Main Street
Fordsville, KY 42343-9763
Phone
(270) 276-3603
Fax
(270) 276-9482
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Moshe Kelman
Title
Managing Member
Phone
(270) 276-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

313 Main Street
Fordsville, KY 42343-9763

Mailing address

313 Main Street
Fordsville, KY 42343-9763
Phone (270) 276-3603

Other identifiers 2

IdentifierTypeStateIssuer
100351OtherKYLICENSE
7100577740MedicaidKY

Other names 1

  • Fordsville Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.fordsvillenursing.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181119001837 KY Part A Provider - Skilled Nursing Facility 8426302944 Practice locations: Fordsville, KY

Skilled nursing facility certification: CCN 185354

Legal name
FORDSVILLE OPCO LLC
Doing business as
FORDSVILLE NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1992
Last certification
Aug 5, 2023
Beds
67
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
313 W Main St
Fordsville, KY 42343-9763
Nursing home name
FORDSVILLE NURSING AND REHABILITATION CENTER
Affiliated entity
BENJAMIN LANDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fordsville Nursing and Rehabilitation CenterCCN 185354
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6759.9 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
18D0326435Fordsville Opco LLC D/B/a313 Main Street, Fordsville, KY 42343Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Alexander Platschek Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 15%
Kristy Felitsky Individual W-2 Managing EmployeeAdministrator Mar 14, 2023
Operational/Managerial ControlAdministrator Mar 14, 2023 33%
Goldie Platschek Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 24.5%
Moshe Kelman Individual Operational/Managerial ControlManaging Member Sep 1, 2018 33%
Metropolitan Commercial Bank Organization, New York, NY Corporation, Financial institution 5% Or Greater Security Interest Sep 1, 2018 100%
David Rubenstein Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 7%
Amy M Blair Individual Operational/Managerial Control Dec 30, 2024
Adp of the SNF Dec 30, 2024
Benjamin Landa Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 43.5%
Cibc Bank USA Organization, Troy, MI Created for acquisition, Corporation, Financial institution 5% Or Greater Security Interest Sep 1, 2018 100%
Myra J Raymer Individual Operational/Managerial ControlRegional Director Oct 10, 2020 33%
Paul T Shepard Individual W-2 Managing EmployeeAdministrator Sep 1, 2018 33%
Operational/Managerial ControlAdministrator Sep 1, 2018 33%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1194200485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAIN STREET",
            "city": "FORDSVILLE",
            "state": "KY",
            "postal_code": "423439763",
            "telephone_number": "270-276-3603",
            "fax_number": "270-276-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN STREET",
            "city": "FORDSVILLE",
            "state": "KY",
            "postal_code": "423439763",
            "telephone_number": "270-276-3603",
            "fax_number": "270-276-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDSVILLE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "270-276-3603"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "100351",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100577740",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.fordsvillenursing.com/",
            "affiliation": "N",
            "address_1": "313 Main Street",
            "city": "Fordsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423439763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fordsville Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fordsville Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fordsville, KY

Sources for this page

Verify at the official NPI Registry.