390 Red School Lane Operations LLC
Organization Active NPI Skilled Nursing Facility · Phillipsburg, NJ
NPI 1265616551 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1265616551
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 062105 (NJ)
- Legal business name
- 390 RED SCHOOL LANE OPERATIONS LLC
- Practice address
- 390 Red School LN
Phillipsburg, NJ 08865-2230 - Phone
- (908) 859-0200
- Fax
- (908) 859-1231
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Owners & managing parties with NPI records 1
Facilities with the same owner 178
Practitioners 1
Affiliated clinicians 13
-
Kimberly Bonica, ACNPC-AG
-
Edgar Guillen, FNP-C
-
Katerina Korunovski, FNP-C
-
Molly Sawares, MD
-
Joseph D Fagbohun, DNP,APRN,FNP-BC,NP-C
-
Vincent Macino, PA
-
Chidi Obinani, ACNP
-
Prisca Okwara, NP
Medicare Care Compare: Nursing home
- Listed as
- Lopatcong Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 1, 1984
- Medicare certification status
- Active
- Certified beds
- 153 · 130.1 residents per day on average
- Chain
- Genesis Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Skilled nursing facility certification: CCN 315202
- Legal name
- 390 RED SCHOOL LANE OPERATIONS LLC
- Doing business as
- LOPATCONG CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1984
- Last certification
- Feb 6, 2024
- Beds
- 153
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Genesis
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 16, 2007 in NJ
- Enrollment address
- 390 Red School Lane Operations LLC
Phillipsburg, NJ 08865-2230 - Nursing home name
- LOPATCONG CENTER
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford |
Corporate Officer |
Jan 1, 2024 | 100% |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Powerback Rehabilitation LLC |
Adp of the SNF | Feb 1, 2023 | |
| Barry Scheier |
Operational/Managerial Control | Dec 27, 2023 | |
| Adp of the SNF | Jan 28, 2025 | ||
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Thaddeus M Aversa |
Operational/Managerial Control | Jan 1, 2002 | |
| Adp of the SNF | Jan 28, 2025 | ||
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 5.2% |
| Genesis Operations IV LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2011 | 100% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 65.3% |
| Genesis Administrative Services LLC |
Adp of the SNF | Feb 1, 2019 | |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.7% |
| Arnold M Whitman |
5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 10.8% |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 7.6% |
| Steven E Fishman |
5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
Jan 1, 2024 | 100% |
| Michael T Berg |
Corporate Officer |
Dec 1, 2012 | 100% |
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2011 | 100% |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080304000789 | NJ | Part a Provider - Skilled Nursing Facility | 9133204993 | Practice locations: Phillipsburg, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 062105 | NJ | Yes |
Addresses
Primary practice location
390 Red School LN
Phillipsburg, NJ 08865-2230
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other names
- Lopatcong Center
Other providers in Phillipsburg, NJ
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- 290 Red School Lane Operations LLC
- 390 Red School Lane Opco, LLC
- 843 Wilbur Avenue Operations LLC
- Aaa Pathology Services
- Abake Health and Wellness LLC
- Abilities of Northwest Jersey, Inc.
- Abilities2Love LLC
All providers in Phillipsburg, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.