Active NPI
Springs at Rochester Hills Rehab and Nursing Center
- Skilled Nursing Facility
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SPRINGS AT ROCHESTER HILLS REHAB AND NURSING CENTER
- Practice address
- 1480 Walton Blvd
Rochester Hills, MI 48309-1739 - Phone
- (248) 651-4422
- NPI assigned
- Apr 18, 2024
- Last updated
- Nov 13, 2024
- 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
- Moshe Gottlieb
- Title
- Member
- Phone
- (718) 807-1940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1480 Walton Blvd
Rochester Hills, MI 48309-1739
Mailing address
1480 Walton Blvd
Rochester Hills, MI 48309-1739
Phone (248) 651-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240924000079 | MI | Part A Provider - Skilled Nursing Facility | 1052852662 | Practice locations: Rochester Hills, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346095981. Details of each certification follow.
Skilled nursing facility certification: CCN 235036
- Legal name
- SPRINGS AT ROCHESTER HILLS REHAB AND NURSING CENTER
- Doing business as
- THE SPRINGS AT ROCHESTER HILLS REHAB AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 1, 1971
- Last certification
- Aug 28, 2024
- Beds
- 126
- Ownership / control type
- Individual
- Multi-facility organization
- Renewal Healthcare LLC
- Organization structure
- LLC
- Enrollment address
- 1480 Walton Blvd
Rochester Hills, MI 48309-1739 - Nursing home name
- THE SPRINGS AT ROCHESTER HILLS REHAB AND NURSING CENTER
- Affiliated entity
- AVON HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Springs at Rochester Hills Rehab and Nursing C
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Dec 1, 1971
- Medicare certification status
- Active
- Certified beds
- 126
- Chain
- Avon Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 23D0723287 | Springs at Rochester Hills, the | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Kristine Kownacki | Operational/Managerial Control | Nov 14, 2024 | |
| Adp of the SNF | Nov 14, 2024 | ||
| Eliyahu M Freund | 5% Or Greater Direct Ownership Interest | Jul 31, 2024 | 50% |
| Corporate Officer | Jul 31, 2024 | ||
| Adp of the SNF | Dec 12, 2024 | ||
| Arlexsus Timmons | W-2 Managing Employee | Jul 31, 2024 | |
| Operational/Managerial Control | Nov 14, 2024 | ||
| Malaz Alatassi | Contracted Managing Employee | Jul 31, 2024 | |
| Avon Springs Rochester MGMT LLC | Adp of the SNF | Nov 20, 2024 | |
| Adp of the SNF | Nov 14, 2024 | ||
| The Springs at Rochester Hills Propco LLC | Adp of the SNF | Nov 22, 2024 | |
| Moshe S Gottlieb | 5% Or Greater Direct Ownership Interest | Jul 31, 2024 | 50% |
| Adp of the SNF | Nov 16, 2024 | ||
| Direct Ownership Interest | Jul 31, 2024 | 4% | |
| Adp of the SNF | Nov 14, 2024 |
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
- Shelby Township, MI
- NPI 1023069770
Contracted Managing Employee
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
- Shelby Township, MI
- NPI 1023069770
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1205874831
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": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1346095981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 WALTON BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091739",
"telephone_number": "248-651-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 WALTON BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091739",
"telephone_number": "248-651-4422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGS AT ROCHESTER HILLS REHAB AND NURSING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "GOTTLIEB",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-807-1940"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.