NPIMap

Organization Active NPI

Birchwood Rehabilitation and Healthcare LLC

  • Skilled Nursing Facility
  • Nanticoke, PA
National Provider Identifier
1235844184
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BIRCHWOOD REHABILITATION AND HEALTHCARE LLC
Practice address
395 Middle Rd
Nanticoke, PA 18634-3806
Phone
(570) 735-2973
NPI assigned
Jan 16, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Shai Berdugo
Title
Authorized Official
Phone
(570) 735-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

395 Middle Rd
Nanticoke, PA 18634-3806

Mailing address

575 Route 70 FL 2
Brick, NJ 08723-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927001899 PA Part A Provider - Skilled Nursing Facility 4385098136 Practice locations: Nanticoke, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235844184. Details of each certification follow.

Skilled nursing facility certification: CCN 395651

Legal name
BIRCHWOOD REHABILITATION AND HEALTHCARE LLC
Doing business as
BIRCHWOOD REHABILITATION & HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 9, 1984
Last certification
Apr 4, 2025
Beds
121
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
395 East Middle Road
Nanticoke, PA 18634-3806
Nursing home name
BIRCHWOOD REHABILITATION & HEALTHCARE CENTER
Affiliated entity
CENTURY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Birchwood Rehabilitation & Healthcare CenterCCN 395651 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 9, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121115.7 residents per day on average
Chain
Century Healthcare9 facilities in the chain
Penalties (3 years)
2Fines totaling $123,390

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ralley LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control May 1, 2023
Michael W Palkovic Individual Operational/Managerial Control Oct 14, 2024
Adp of the SNF Apr 2, 2026
Century II Pennsylania Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Shai Berdugo Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 18%
Corporate OfficerReimbursement Officer May 1, 2023
Operational/Managerial Control Mar 4, 2025
Adp of the SNF Mar 4, 2025
Patrick C Kilduff Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Apr 2, 2026
Kulanu Oc Trust Organization, Lincolnwood, IL 5% Or Greater Indirect Ownership Interest May 1, 2023 14.5%
Efraim Klein Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 29%
Corporate OfficerCeo May 1, 2023
Century II TBD Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 100%

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 8

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

Practitioners & affiliated clinicians

Practitioners 4

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.

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": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1235844184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70 FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MIDDLE RD",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343806",
            "telephone_number": "570-735-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD REHABILITATION AND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "BERDUGO",
        "authorized_official_first_name": "SHAI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-735-2973"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

Verify at the official NPI Registry.