Organization Active NPI

125 Holly Road Operations LLC

Doing business as Laurel Center

  • Skilled Nursing Facility
  • Hamburg, PA
National Provider Identifier
1356523666
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
123902 Issued in PA
Legal business name
125 HOLLY ROAD OPERATIONS LLC
Doing business as
Laurel Center
Practice address
125 Holly Rd
Hamburg, PA 19526-8729
Phone
(610) 562-2284
Fax
(610) 562-0776
NPI assigned
Nov 28, 2007
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Michael T Berg
Title
Secretary
Phone
(610) 444-6350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 222020 PA
Skilled Nursing Facility 314000000X 123902 PA Primary

Addresses

Primary practice location

125 Holly Rd
Hamburg, PA 19526-8729

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other identifiers 1

IdentifierTypeStateIssuer
1025701670001MedicaidPA

Other names 1

  • Laurel Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000073 PA Part A Provider - Skilled Nursing Facility 1052597796 Practice locations: Hamburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356523666. Details of each certification follow.

Skilled nursing facility certification: CCN 395408

Legal name
125 HOLLY ROAD OPERATIONS LLC
Doing business as
LAUREL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 16, 1977
Last certification
Sep 13, 2024
Beds
130
Ownership / control type
Corporation
Multi-facility organization
Genesis Health Care
Most recent change of ownership
Apr 1, 2011
Organization structure
LLCProprietary
Incorporated
Aug 21, 2007 in PA
Enrollment address
125 Holly Road
Hamburg, PA 19526-8729
Nursing home name
LAUREL CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurel CenterCCN 395408 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 16, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130119.0 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $76,918

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Genesis PA Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 7, 2007 100%
HCCF Management Group XI LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 10.8%
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, New York, NY For-profit Adp of the SNF Feb 1, 2019
Individual Adp of the SNF Apr 1, 2024
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Feb 10, 2025
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jan 1, 2019
Genesis Operations LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 7, 2007 100%
Adp of the SNF Feb 10, 2025
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 15, 2015 5.2%
Cheryl Koch Individual Operational/Managerial Control Jan 30, 2022
Adp of the SNF Jan 30, 2022
Genesis Healthcare LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 65.3%
Senior Care Genesis LLC Organization, New Haven, CT For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2012 9%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 10.8%
Corporate DirectorBoard Member and Manager of FC-G Dec 1, 2012
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 7.6%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2011 7.6%
Michael T Berg Individual Corporate OfficerSecretary Dec 1, 2012
Welltower Inc Organization, Toledo, OH Corporation, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 3, 2017 5.7%
GHC Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 7, 2007 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

Facilities with the same owner 179

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 179

Practitioners & affiliated clinicians

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.

Affiliated clinicians 2

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1356523666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOLLY RD",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268729",
            "telephone_number": "610-562-2284",
            "fax_number": "610-562-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "125 HOLLY ROAD OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "222020",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "123902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025701670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.