Organization Active NPI

Fairfield Gardens Rehabilitation and Care Center LLC

  • Skilled Nursing Facility
  • Valley Stream, NY
National Provider Identifier
1235684309
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0385N Issued in OH
Legal business name
FAIRFIELD GARDENS REHABILITATION AND CARE CENTER LLC
Practice address
99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163
Phone
(516) 505-0000
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
David Gamzeh
Title
Managing Member
Phone
(516) 426-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0385N OH Primary

Addresses

Primary practice location

99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163

Mailing address

7820 Pleasantville Road
Pleasantville, OH 43148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170321000080 OH Part A Provider - Skilled Nursing Facility 2062797764 Practice locations: Pleasantville, OH

Skilled nursing facility certification: CCN 366199

Legal name
FAIRFIELD GARDENS REHABILITATION AND CARE CENTER LLC
Doing business as
COUNTRY LANE GARDENS REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 20, 2000
Last certification
Jul 8, 2024
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Garden Healthcare
Organization structure
LLCProprietary
Incorporated
Sep 9, 2015 in OH
Enrollment address
7820 Pleasantville Rd
Pleasantville, OH 43148
Nursing home name
COUNTRY LANE GARDENS REHAB & NURSING CTR
Affiliated entity
EPHRAM LAHASKY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Country Lane Gardens Rehab & Nursing CtrCCN 366199
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 20, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9982.0 residents per day on average
Chain
Ephram Lahasky22 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $318,627

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Country Lane Gardens Rehab and Nursing C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 45

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

NameRoleSinceShare
Eatery Manager LLC Organization, Hixson, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 10.64%
Adp of the SNF Sep 1, 2017
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 0.16%
Organization, New York, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 1.15%
Individual Indirect Ownership Interest Sep 1, 2017 1.15%
Individual Indirect Ownership Interest Sep 1, 2017 0.16%
Individual Indirect Ownership Interest Sep 1, 2017 0.16%
Garden Ohio Operating Holdings LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 86.08%
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 0.49%
Organization, Monsey, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 1.64%
Organization, Wilmington, DE Indirect Ownership Interest Sep 1, 2017 2.46%
Chickiestrong Real Estate LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 21.64%
Adp of the SNF Sep 1, 2017
Individual Indirect Ownership Interest Sep 1, 2017 1.64%
Eatery Capital LLC Organization, Hixson, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 10.64%
Adp of the SNF Sep 1, 2017
Organization, Pleasantville, OH LLC Adp of the SNF Dec 30, 2016
Organization, Brooklyn, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 3.28%
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 1.3%
Individual Indirect Ownership Interest Sep 1, 2017 1.64%
Daniel Miller Individual Operational/Managerial Control Sep 1, 2017
Managing Control - Governing Body Sep 1, 2017
Adp of the SNF Sep 1, 2017
Eli M Leshkowitz Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 8.96%
Corporate OfficerAssistant Secretary Dec 30, 2016
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 8.96%
Samuel Feuer Individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 8.71%
Adp of the SNF Sep 1, 2017
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Garden Ohio Operating Managing Member LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 64.44%
Eatery Trust Organization, Hixson, TN 5% Or Greater Indirect Ownership Interest Sep 1, 2017 10.64%
Adp of the SNF Sep 1, 2017
Individual Indirect Ownership Interest Sep 1, 2017 0.82%
Garden Care El-DG Holdings, LLC Organization, Hewlett, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 13.92%
Adp of the SNF Sep 1, 2017
Organization, Montvale, NJ LLC, Holding company Adp of the SNF Dec 30, 2016
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 1.3%
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Individual Indirect Ownership Interest Sep 1, 2017 0.66%
Organization, Montvale, NJ LLC Adp of the SNF Dec 30, 2016
Organization, Uniondale, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 3.28%
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Braunstein Bears 2016 Trust Organization, New York, NY 5% Or Greater Indirect Ownership Interest Sep 1, 2017 42.76%
Adp of the SNF Sep 1, 2017
Individual Indirect Ownership Interest Sep 1, 2017 0.49%
Organization, Brooklyn, NY LLC Adp of the SNF Dec 30, 2016
Larry Katz Individual 5% Or Greater Indirect Ownership InterestMember Sep 1, 2017 8.42%
Adp of the SNF Sep 1, 2017
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Individual Indirect Ownership Interest Sep 1, 2017 0.33%
Kent Harris Individual Operational/Managerial Control Nov 10, 2025
Managing Control - Governing Body Nov 10, 2025
Adp of the SNF Nov 10, 2025
Organization, Far Rockaway, NY Indirect Ownership Interest Sep 1, 2017 0.49%
Organization, New York, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 1.15%
Organization, Uniondale, NY Indirect Ownership Interest Sep 1, 2017 3.28%
Individual Indirect Ownership Interest Sep 1, 2017 0.33%
Chickiestrong Fairfield Gardens LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 86.08%
Individual Indirect Ownership Interest Sep 1, 2017 0.07%

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 11

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 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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1235684309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 PLEASANTVILLE ROAD",
            "city": "PLEASANTVILLE",
            "state": "OH",
            "postal_code": "43148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W HAWTHORNE AVE",
            "address_2": "SUITE 508",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806163",
            "telephone_number": "516-505-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD GARDENS REHABILITATION AND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "GAMZEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-426-6961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0385N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.