Active NPI
Fairfield Gardens Rehabilitation and Care Center LLC
- Skilled Nursing Facility
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0385N
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 20, 2000
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Ephram Lahasky
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 5
National Provider Directory
National Provider Directory- Tax ID family
- Country Lane Gardens Rehab and Nursing C
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Pleasantville, OH
- NPI 1063448926
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eatery Manager LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 10.64% |
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.16% | |
| Indirect Ownership Interest | Sep 1, 2017 | 1.15% | |
| Indirect Ownership Interest | Sep 1, 2017 | 1.15% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.16% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.16% | |
| Garden Ohio Operating Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 86.08% |
| Indirect Ownership Interest | Sep 1, 2017 | 0.49% | |
| Indirect Ownership Interest | Sep 1, 2017 | 1.64% | |
| Indirect Ownership Interest | Sep 1, 2017 | 2.46% | |
| Chickiestrong Real Estate LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 21.64% |
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 1.64% | |
| Eatery Capital LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 10.64% |
| Adp of the SNF | Sep 1, 2017 | ||
| Adp of the SNF | Dec 30, 2016 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 3.28% | |
| Indirect Ownership Interest | Sep 1, 2017 | 1.3% | |
| Indirect Ownership Interest | Sep 1, 2017 | 1.64% | |
| Daniel Miller | Operational/Managerial Control | Sep 1, 2017 | |
| Managing Control - Governing Body | Sep 1, 2017 | ||
| Adp of the SNF | Sep 1, 2017 | ||
| Eli M Leshkowitz | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 8.96% |
| Corporate Officer | Dec 30, 2016 | ||
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 8.96% | |
| Samuel Feuer | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 8.71% |
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.8% | |
| Garden Ohio Operating Managing Member LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 64.44% |
| Eatery Trust | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 10.64% |
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.82% | |
| Garden Care El-DG Holdings, LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 13.92% |
| Adp of the SNF | Sep 1, 2017 | ||
| Adp of the SNF | Dec 30, 2016 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 1.3% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.8% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.66% | |
| Adp of the SNF | Dec 30, 2016 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 3.28% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.8% | |
| Braunstein Bears 2016 Trust | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 42.76% |
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.49% | |
| Adp of the SNF | Dec 30, 2016 | ||
| Larry Katz | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 8.42% |
| Adp of the SNF | Sep 1, 2017 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.8% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.33% | |
| Kent Harris | Operational/Managerial Control | Nov 10, 2025 | |
| Managing Control - Governing Body | Nov 10, 2025 | ||
| Adp of the SNF | Nov 10, 2025 | ||
| Indirect Ownership Interest | Sep 1, 2017 | 0.49% | |
| Indirect Ownership Interest | Sep 1, 2017 | 1.15% | |
| Indirect Ownership Interest | Sep 1, 2017 | 3.28% | |
| Indirect Ownership Interest | Sep 1, 2017 | 0.33% | |
| Chickiestrong Fairfield Gardens LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 86.08% |
| 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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1386731263
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Valley Stream, NY
- NPI 1871048942
Braunstein Bears 2016 Trust, Chickiestrong Real Estate LLC, Garden Ohio Operating Holdings LLC, Garden Ohio Operating Managing Member LLC
-
- Skilled Nursing Facility
- Valley Stream, NY
- NPI 1609321777
Braunstein Bears 2016 Trust, Chickiestrong Real Estate LLC, Eatery Capital LLC, Eatery Manager LLC, Eatery Trust, Garden Care El-DG Holdings, LLC, Garden Ohio Operating Holdings LLC, Garden Ohio Operating Managing Member LLC
-
- Skilled Nursing Facility
- Valley Stream, NY
- NPI 1982159059
Braunstein Bears 2016 Trust, Chickiestrong Real Estate LLC, Garden Ohio Operating Holdings LLC, Garden Ohio Operating Managing Member LLC
-
- Skilled Nursing Facility
- Valley Stream, NY
- NPI 1326593492
Braunstein Bears 2016 Trust, Chickiestrong Real Estate LLC, Garden Ohio Operating Holdings LLC, Garden Ohio Operating Managing Member LLC
-
- Skilled Nursing Facility
- Bellville, OH
- NPI 1811415110
Braunstein Bears 2016 Trust
-
- Skilled Nursing Facility
- Crestline, OH
- NPI 1184142481
Braunstein Bears 2016 Trust
-
- Skilled Nursing Facility
- Westerville, OH
- NPI 1518485820
Braunstein Bears 2016 Trust
-
- Skilled Nursing Facility
- Columbus, OH
- NPI 1245785310
Braunstein Bears 2016 Trust, Chickiestrong Real Estate LLC, Garden Ohio Operating Holdings LLC, Garden Ohio Operating Managing Member LLC
-
- Skilled Nursing Facility
- Massillon, OH
- NPI 1447778741
Braunstein Bears 2016 Trust
-
- Skilled Nursing Facility
- Tallmadge, OH
- NPI 1528586831
Braunstein Bears 2016 Trust
-
- Skilled Nursing Facility
- Mount Vernon, OH
- NPI 1245758333
Braunstein Bears 2016 Trust
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1386731263
-
- Family Medicine Physician
- Lancaster, OH
- NPI 1023080298
-
- Family Medicine Physician
- Lancaster, OH
- NPI 1790756740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.