Organization Active NPI

Resorts at Pooler Inc

  • Skilled Nursing Facility
  • Pooler, GA
National Provider Identifier
1245889294
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 11, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zrosenberg@outcomehc.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 115293
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 10, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12285.1 residents per day on average
Penalties (3 years)
1Fines totaling $4,017

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Mindy Rosenberg Individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Corporate OfficerPresident Aug 1, 2019 100%
Adp of the SNF Oct 1, 2019
Zvi Rosenberg Individual 5% Or Greater Mortgage Interest Oct 1, 2019 100%
Adp of the SNF Oct 1, 2019
Ramona Lancaster-Epps Individual Operational/Managerial Control Apr 11, 2023
Adp of the SNF Mar 27, 2025
Amar Mohan Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
508 Rogers LLC Organization, Pooler, GA Created for acquisition, LLC, Owned by another organization or individual 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.