Active NPI
Resorts at Pooler Inc
- Skilled Nursing Facility
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RESORTS AT POOLER INC
- Practice address
- 508 S Rogers St
Pooler, GA 31322-3116 - Phone
- (912) 748-6840
- NPI assigned
- Sep 11, 2019
- 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
- Zvi Rosenberg
- Title
- Business Office
- Phone
- (732) 860-5156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
508 S Rogers St
Pooler, GA 31322-3116
Mailing address
27 US Highway Route 1 South
New Brunswick, NJ 08901
Phone (732) 828-2400
Other names 1
- Resorts at Pooler
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | zrosenberg@outcomehc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191003002354 | GA | Part A Provider - Skilled Nursing Facility | 5890026918 | Practice locations: Pooler, GA |
Skilled nursing facility certification: CCN 115293
- Legal name
- RESORTS AT POOLER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 10, 1982
- Last certification
- Jun 16, 2024
- Beds
- 122
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Enrollment address
- 508 S Rogers St
Pooler, GA 31322-3116 - Nursing home name
- RESORTS AT POOLER INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Resorts at Pooler Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 10, 1982
- Medicare certification status
- Active
- Certified beds
- 122
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Mindy Rosenberg | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 100% |
| Corporate Officer | Aug 1, 2019 | 100% | |
| Adp of the SNF | Oct 1, 2019 | ||
| Zvi Rosenberg | 5% Or Greater Mortgage Interest | Oct 1, 2019 | 100% |
| Adp of the SNF | Oct 1, 2019 | ||
| Ramona Lancaster-Epps | Operational/Managerial Control | Apr 11, 2023 | |
| Adp of the SNF | Mar 27, 2025 | ||
| Amar Mohan | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| 508 Rogers LLC | 5% Or Greater Mortgage Interest | Oct 1, 2019 | 100% |
| 5% Or Greater Security Interest | Oct 1, 2019 | 100% | |
| Adp of the SNF | Oct 1, 2019 |
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
- Monroe, GA
- NPI 1578724886
Adp of the SNF, Operational/Managerial 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.
-
- Internal Medicine Physician
- Sandy Springs, GA
- NPI 1952712788
-
- Internal Medicine Physician
- Monroe, GA
- NPI 1578724886
-
- Hospitalist Physician
- Jacksonville, FL
- NPI 1699977694
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": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1245889294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 US HIGHWAY ROUTE 1 SOUTH",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901",
"telephone_number": "732-828-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S ROGERS ST",
"city": "POOLER",
"state": "GA",
"postal_code": "313223116",
"telephone_number": "912-748-6840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESORTS AT POOLER INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "ZVI",
"authorized_official_title_or_position": "BUSINESS OFFICE",
"authorized_official_telephone_number": "732-860-5156"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zrosenberg@outcomehc.com",
"affiliation": "N",
"address_1": "508 S Rogers St",
"city": "Pooler",
"state": "GA",
"country_code": "US",
"postal_code": "313223116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Resorts at Pooler",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.