Active NPI
Pennypack Center SNF LLC
Doing business as PennyPack Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PENNYPACK CENTER SNF LLC
- Doing business as
- PennyPack Nursing and Rehabilitation Center
- Practice address
- 8015 Lawndale Ave
Philadelphia, PA 19111-1507 - Phone
- (215) 725-2525
- NPI assigned
- May 9, 2018
- Last updated
- May 9, 2018
- 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
- Chaim Steg
- Title
- Manager
- Phone
- (917) 627-8747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
8015 Lawndale Ave
Philadelphia, PA 19111-1507
Mailing address
8015 Lawndale Ave
Philadelphia, PA 19111-1507
Other names 1
- PennyPack Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180705002917 | PA | Part A Provider - Skilled Nursing Facility | 6002162039 | Practice locations: Philadelphia, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275022816. Details of each certification follow.
Skilled nursing facility certification: CCN 395135
- Legal name
- PENNYPACK CENTER SNF LLC
- Doing business as
- PENNYPACK NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Aug 26, 2024
- Beds
- 54
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 7, 2018 in DE
- Enrollment address
- 8015 Lawndale Ave
Philadelphia, PA 19111-1507
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pennypack Rehab and Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 54
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Daniel a Gottesman | 5% Or Greater Indirect Ownership Interest | Aug 20, 2021 | 40% |
| Ymcs Equities LLC | 5% Or Greater Indirect Ownership Interest | Aug 20, 2021 | 10% |
| Main PA Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 | 100% |
| Michael Berkowitz | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10% |
| CHRH Equities LLC | 5% Or Greater Indirect Ownership Interest | Aug 20, 2021 | 10% |
| Chaim Herzka | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10% |
| CH Lightning Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 30% |
| Ens Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Aug 20, 2021 | 40% |
| CS Main Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 40% |
| Shaul Kopelowitz | 5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10% |
| Yisroel E Herzka | 5% Or Greater Indirect Ownership Interest | Aug 1, 2021 | 30% |
| Corporate Officer | Aug 20, 2021 | ||
| The Ens Family Trust | 5% Or Greater Indirect Ownership Interest | Aug 20, 2021 | 40% |
| Yehudah Gewirtzman | W-2 Managing Employee | Jun 1, 2018 |
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Horsham Center for Jewish Life
- Skilled Nursing Facility
- North Wales, PA
- NPI 1932727591
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Brinton Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Glen Mills, PA
- NPI 1902469471
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Lancaster Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1184242182
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
- Skilled Nursing Facility
- Philadelphia, PA
- NPI 1023594280
CH Lightning Holdings LLC, CHRH Equities LLC, Ens Holdings, LLC, Main PA Operations Holdings LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Garden Spring Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Willow Grove, PA
- NPI 1730742206
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Newport Meadows Health and Rehabilitation Center
- Skilled Nursing Facility
- Christina, PA
- NPI 1952940785
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Orwigsburg Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Orwigsburg, PA
- NPI 1821651399
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Rose View Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Williamsport, PA
- NPI 1700375342
CH Lightning Holdings LLC, CHRH Equities LLC, CS Main Holdings LLC, Ens Holdings, LLC, Main PA Operations Holdings LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Sena Kean Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Smethport, PA
- NPI 1982203899
Ens Holdings, LLC, The Ens Family Trust
-
dba Seton Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Orwigsburg, PA
- NPI 1659934123
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
-
dba Southwestern Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1689273500
Ens Holdings, LLC, The Ens Family Trust
-
dba River View Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Plains TWP, PA
- NPI 1508484502
CHRH Equities LLC, Ens Holdings, LLC, The Ens Family Trust, Ymcs Equities LLC
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.
-
- Internal Medicine Physician
- Meadowbrook, PA
- NPI 1962623009
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": "1525824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525824000000",
"number": "1275022816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 LAWNDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191111507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 LAWNDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191111507",
"telephone_number": "215-725-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNYPACK CENTER SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A",
"authorized_official_last_name": "STEG",
"authorized_official_first_name": "CHAIM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-627-8747"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PennyPack Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.