Haven Manor Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAVEN MANOR HEALTH CARE CENTER LLC

Practice address

1441 Gateway Blvd
Far Rockaway, NY 11691-4316

Phone

(718) 471-1500

Fax

(718) 868-0030

NPI assigned

Oct 6, 2005

Last updated

Dec 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aron Cytryn

Title

Licensed Administrator

Phone

(718) 471-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356339105. Details of each certification follow.

• CCN 335676 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335676

Legal name

HAVEN MANOR HEALTH CARE CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1984

Last certification

Nov 15, 2023

Beds

240

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

1441 Gateway Blvd
Far Rockaway, NY 11691-4316

Nursing home name

HAVEN MANOR HEALTH CARE CENTER, LLC

Listed as

Haven Manor Health Care Center, LLCCCN 335676 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

240214.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 1

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

• Mohammed Saif

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1275562415

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Practitioners 3

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.

• Alvin Dennis Holcomb, M.D.

  • Internal Medicine Physician
  • Melville, NY
  • NPI 1447340237
  NPD (past)
• Polina Khanina, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1285679498
  NPD (past)
• Mohammed Saif

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1275562415
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Polina Khanina, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1285679498

  Nursing home

  Care Compare affiliation
• Mohammed Saif

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1275562415

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1356339105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 GATEWAY BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914316",
            "fax_number": "718-868-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 GATEWAY BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914316",
            "telephone_number": "718-471-1500",
            "fax_number": "718-868-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MANOR HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "CYTRYN",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "LICENSED ADMINISTRATOR",
        "authorized_official_telephone_number": "718-471-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003378N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold Mostel,DDS,PC (smile savers)
• Gail Harris
• Sandi Hartje, D.O.
• Hadar Meir Hasis
• Alena Haskins, LMSW
• Twila Hawkins
• Canava Vanacia Haye, REGISTERED NURSE
• Naudia Haywood, LPN
• Leslie Ann Hazel-Fernandez, PHD
• Jennifer Heavey, LMSW

• Skilled Nursing Facility in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.