Active NPI
101 E Delaware Ave Operations LLC
- Skilled Nursing Facility
- Delmar, DE
National Provider Identifier
1336539717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 101 E DELAWARE AVE OPERATIONS LLC
- Practice address
- 101 Delaware Ave
Delmar, DE 19940-1110 - Phone
- (302) 846-3077
- NPI assigned
- Jan 23, 2015
- Last updated
- Jan 30, 2015
- 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
- Louis Gellis
- Title
- Manager
- Phone
- (917) 533-7241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
101 Delaware Ave
Delmar, DE 19940-1110
Mailing address
600 Broadway
Lynbrook, NY 11563-3980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150415000778 | DE | Part A Provider - Skilled Nursing Facility | 2860710241 | Practice locations: Delmar, DE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336539717. Details of each certification follow.
Skilled nursing facility certification: CCN 085041
- Legal name
- 101 E DELAWARE AVE OPERATIONS LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 13, 1992
- Last certification
- Sep 26, 2024
- Beds
- 109
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jan 16, 2015 in DE
- Enrollment address
- 101 East Delaware Avenue
Delmar Nursing and Rehabilitation Center
Delmar, DE 19940-1110 - Nursing home name
- DELMAR NURSING & REHABILITATION CENTER
- Affiliated entity
- EDEN HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Delmar Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 13, 1992
- Medicare certification status
- Active
- Certified beds
- 109
- Chain
- Eden Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- 101 E Delaware Ave Operations LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Delmar, DE
- NPI 1891703328
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Marie Okronley | W-2 Managing Employee | May 1, 2015 | |
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 19% |
| Louis Gellis | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 19% |
| Operational/Managerial Control | May 1, 2015 | ||
| Jordan Fensterman | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 19% |
| Joshua Farkovits | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 19% |
| Bernard Fuchs | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 19% |
Practitioners & affiliated clinicians
Practitioners 2
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
- Salisbury, MD
- NPI 1336115500
-
- Geriatric Medicine (Family Medicine) Physician
- Denton, MD
- NPI 1811950306
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Denton, MD
- NPI 1811950306
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422576000000",
"number": "1336539717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BROADWAY",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DELAWARE AVE",
"city": "DELMAR",
"state": "DE",
"postal_code": "199401110",
"telephone_number": "302-846-3077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "101 E DELAWARE AVE OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-30",
"status": "A",
"authorized_official_last_name": "GELLIS",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-533-7241"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.