Organization Active NPI

Excelcare at Newark LLC

  • Skilled Nursing Facility
  • Newark, DE
National Provider Identifier
1235957572
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EXCELCARE AT NEWARK LLC
Practice address
4949 Ogletown Stanton Rd
Newark, DE 19713-2068
Phone
(302) 998-6900
NPI assigned
Sep 26, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mr. Josh Raider
Title
Controller
Phone
(732) 380-5812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4949 Ogletown Stanton Rd
Newark, DE 19713-2068

Mailing address

1225 Carmel CT
Lakewood, NJ 08701-2209
Phone (732) 380-5812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827002956 DE Part A Provider - Skilled Nursing Facility 1254832751 Practice locations: Newark, DE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235957572. Details of each certification follow.

Skilled nursing facility certification: CCN 085025

Legal name
EXCELCARE AT NEWARK LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 23, 1984
Last certification
Feb 19, 2025
Beds
101
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
4949 Ogletown Stanton Rd
Newark, DE 19713-2068
Nursing home name
EXCELCARE AT NEWARK LLC
Affiliated entity
EXCELCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Excelcare at Newark LLCCCN 085025 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 23, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10191.9 residents per day on average
Chain
Excelcare8 facilities in the chain
Penalties (3 years)
2Fines totaling $29,309

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Eliyahu Frankel Individual 5% Or Greater Indirect Ownership InterestCeo Oct 1, 2024 40%
Operational/Managerial Control Oct 1, 2024

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1235957572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CARMEL CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012209",
            "telephone_number": "732-380-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132068",
            "telephone_number": "302-998-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELCARE AT NEWARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "RAIDER",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-380-5812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.