Organization Active NPI

Rosewood Care, LLC

  • Skilled Nursing Facility
  • Rensselaer, NY
National Provider Identifier
1245677533
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4152304N Issued in NY
Legal business name
ROSEWOOD CARE, LLC
Practice address
284 Troy Rd
Rensselaer, NY 12144-9474
Phone
(518) 286-1621
NPI assigned
May 28, 2013
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Louis Gellis
Title
Administrator
Phone
(518) 286-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4152304N NY Primary

Addresses

Primary practice location

284 Troy Rd
Rensselaer, NY 12144-9474

Mailing address

284 Troy Rd
Rensselaer, NY 12144-9474
Phone (518) 286-1621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130808000490 NY Part A Provider - Skilled Nursing Facility 7012159791 Practice locations: Rensselaer, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245677533. Details of each certification follow.

Skilled nursing facility certification: CCN 335693001

Legal name
ROSEWOOD CARE, LLC
Doing business as
ROSEWOOD REHABILITATION AND NURSING CENTER
Organization structure
LLCProprietary
Incorporated
Mar 12, 2012 in NY
Enrollment address
284 Troy Rd
Rensselaer, NY 12144-9474
Nursing home name
ROSEWOOD REHABILITATION AND NURSING CENTER

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
33D0161531Rosewood Rehabilitation & Nursing Center284 Troy Road, Rensselaer, NY 12144Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Meryl Maybruch Individual 5% Or Greater Direct Ownership Interest Oct 15, 2012 6.75%
Donald Fishoff Individual 5% Or Greater Direct Ownership Interest Oct 15, 2012 6.75%
Louis Gellis Individual 5% Or Greater Direct Ownership Interest May 12, 2012 25%
W-2 Managing EmployeeAdministrator Jan 12, 2012 100%
Barbara Gold Individual 5% Or Greater Direct Ownership Interest Oct 15, 2012 6.75%
Inter-Ocean Family, LLC Organization, Monsey, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 12, 2012 37.5%
Regina Weinstock Individual 5% Or Greater Direct Ownership Interest Oct 15, 2012 6.75%
Abraham Fishoff Individual 5% Or Greater Direct Ownership Interest Oct 15, 2012 6.75%

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1245677533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 TROY RD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449474",
            "telephone_number": "518-286-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 TROY RD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449474",
            "telephone_number": "518-286-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "GELLIS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-286-1621"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4152304N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.