Active NPI
Oak Hill Operating Co LLC
- Skilled Nursing Facility
- Ithaca, NY
National Provider Identifier
1285107995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OAK HILL OPERATING CO LLC
- Practice address
- 602 Hudson St
Ithaca, NY 14850-5752 - Phone
- (607) 272-8282
- NPI assigned
- Jan 4, 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
- Mordy Berman
- Title
- Member
- Phone
- (917) 242-0423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
602 Hudson St
Ithaca, NY 14850-5752
Mailing address
602 Hudson St
Ithaca, NY 14850-5752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190222000536 | NY | Part A Provider - Skilled Nursing Facility | 7911246756 | Practice locations: Ithaca, NY |
Skilled nursing facility certification: CCN 335225
- Legal name
- OAK HILL OPERATING CO LLC
- Doing business as
- OAK HILL REHABILITATION AND NURSING CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1967
- Last certification
- Mar 19, 2025
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2005
- Organization structure
- LLC
- Incorporated
- Apr 1, 2014 in NY
- Enrollment address
- 602 Hudson St
Ithaca, NY 14850-5752 - Nursing home name
- OAK HILL REHABILITATION AND NURSING CARE CENTER
- Affiliated entity
- THE MAYER FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oak Hill Rehabilitation and Nursing Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1967
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- The Mayer Family
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2151593 | Oak Hill Rehabilitation and Nursing Care | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Jonathan Gewirtz | Corporate Officer | Feb 11, 2019 | |
| Steven Landa | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 8% |
| Yossi Mayer | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 10% |
| Hinda Landa | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 10% |
| Rivky Klein | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 17.5% |
| Corporate Officer | Apr 1, 2014 | 17.5% | |
| Anna Appel | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 17.5% |
| Corporate Officer | Apr 1, 2014 | 17.5% | |
| David Wettenstein | W-2 Managing Employee | Feb 11, 2019 | |
| Mordechai Berman | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 5% |
| Corporate Officer | Apr 1, 2014 | 5% | |
| Suri Reich | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 10% |
| Andrea Mayer | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 5% |
| Corporate Officer | Apr 1, 2014 | 5% | |
| Helen Majerovic | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 5% |
| Pearl Litkowski | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 10% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rome, NY
- NPI 1457492688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546560000000",
"number": "1285107995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 HUDSON ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 HUDSON ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505752",
"telephone_number": "607-272-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK HILL OPERATING CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A",
"authorized_official_last_name": "BERMAN",
"authorized_official_first_name": "MORDY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "917-242-0423"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.