NPIMap

Organization Active NPI

Meadow View Rehabilitation and Healthcare LLC

  • Skilled Nursing Facility
  • Montrose, PA
National Provider Identifier
1275248015
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOW VIEW REHABILITATION AND HEALTHCARE LLC
Practice address
225 Park St
Montrose, PA 18801-6525
Phone
(570) 278-3836
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Shai Berdugo
Title
Authorized Official
Phone
(570) 278-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

225 Park St
Montrose, PA 18801-6525

Mailing address

575 Route 70 FL 2
Brick, NJ 08723-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230527000234 PA Part A Provider - Skilled Nursing Facility 4183081623 Practice locations: Montrose, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275248015. Details of each certification follow.

Skilled nursing facility certification: CCN 395092

Legal name
MEADOW VIEW REHABILITATION AND HEALTHCARE LLC
Doing business as
MEADOW VIEW REHABILITATION & HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Nov 7, 2024
Beds
63
Ownership / control type
Limited Liability Corporation
Organization structure
LLC
Enrollment address
225 Park St
Montrose, PA 18801-6525
Nursing home name
MEADOW VIEW REHABILITATION & HEALTHCARE CENTER
Affiliated entity
CENTURY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadow View Rehabilitation & Healthcare CenterCCN 395092 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6353.4 residents per day on average
Chain
Century Healthcare9 facilities in the chain
Penalties (3 years)
2Fines totaling $105,587

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

575 Route 70
#02
Brick, NJ 08723
Phone (732) 415-6003

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ralley LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control May 1, 2023
Chelsey L Cundey Individual Operational/Managerial Control Mar 18, 2024
Adp of the SNF Oct 21, 2025
Joseph M Speicher Individual Operational/Managerial Control May 1, 2023
Adp of the SNF Oct 21, 2025
Shai Berdugo Individual 5% Or Greater Indirect Ownership Interest Mar 4, 2025 47.33%
Operational/Managerial Control Mar 4, 2025
Managing Control - Governing BodyManager of the Manager Mar 4, 2025
Adp of the SNF Mar 4, 2025
Kulanu Oc Trust Organization, Lincolnwood, IL 5% Or Greater Indirect Ownership Interest May 1, 2023 14.5%
Century III Pennsylvania Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Century III TBD Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Efraim Klein Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 29%
Corporate OfficerCeo May 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1275248015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70 FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PARK ST",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188016525",
            "telephone_number": "570-278-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW VIEW REHABILITATION AND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "BERDUGO",
        "authorized_official_first_name": "SHAI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-278-3836"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

Verify at the official NPI Registry.