Active NPI
Fitchburg Rehabilitation and Nursing Center LLC
- Skilled Nursing Facility
- Fitchburg, MA
National Provider Identifier
1326507401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FITCHBURG REHABILITATION AND NURSING CENTER LLC
- Practice address
- 94 Summer St
Fitchburg, MA 01420-5761 - Phone
- (718) 974-0266
- NPI assigned
- Mar 18, 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
- Penina Sanik
- Title
- Admin
- Phone
- (845) 709-4910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
94 Summer St
Fitchburg, MA 01420-5761
Mailing address
94 Summer St
Fitchburg, MA 01420-5761
Phone (718) 974-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191015001411 | MA | Part A Provider - Skilled Nursing Facility | 3870824360 | Practice locations: Fitchburg, MA |
Skilled nursing facility certification: CCN 225227
- Legal name
- FITCHBURG REHABILITATION AND NURSING CENTER LLC
- Doing business as
- FITCHBURG REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1975
- Last certification
- Mar 7, 2025
- Beds
- 87
- Ownership / control type
- Individual
- Most recent change of ownership
- Oct 11, 2019
- Organization structure
- LLC
- Enrollment address
- 94 Summer St
Fitchburg, MA 01420-5761 - Nursing home name
- FITCHBURG REHABILITATION AND NURSING CENTER
- Affiliated entity
- EPHRAM LAHASKY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fitchburg Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1975
- Medicare certification status
- Active
- Certified beds
- 87
- Chain
- Ephram Lahasky
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Oct 19, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Ephram M Lahasky | Operational/Managerial Control | Jan 14, 2019 | |
| Direct Ownership Interest | Jan 14, 2019 | 50% | |
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Philip Johnson | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | May 20, 2025 | ||
| Akiva Horowitz | Operational/Managerial Control | Jan 14, 2019 | |
| Direct Ownership Interest | Jan 14, 2019 | 50% | |
| Akindele Majekodunmi | Adp of the SNF | Apr 8, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1447411764
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1750451795
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1447411764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629072000000",
"number": "1326507401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 SUMMER ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205761",
"telephone_number": "718-974-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 SUMMER ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205761",
"telephone_number": "718-974-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITCHBURG REHABILITATION AND NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-18",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A",
"authorized_official_last_name": "SANIK",
"authorized_official_first_name": "PENINA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "845-709-4910"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Fitchburg Family Pharmacy, Inc
- Fitchburg Gardens for Nursing and Rehabilitation LLC
- Fitchburg Pediatrics, P.C. (Fitchburg Pediatrics)
- Fitchburg Smiles
- Fitchburg Smiles, PLLC
- Fitchburg State College- Health Services
- Fitchburg Transportation LLC
- Fitchburgh Dentistry and Braces PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.