Organization Active NPI

Forest Manor Care Center Inc

  • Skilled Nursing Facility
  • Glen Cove, NY
National Provider Identifier
1366438418
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FOREST MANOR CARE CENTER INC
Practice address
6 Medical PLZ
Glen Cove, NY 11542-2108
Phone
(516) 671-9010
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Lisa Polimeni
Title
Director of Billing
Phone
(516) 671-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6 Medical PLZ
Glen Cove, NY 11542-2108

Mailing address

6 Medical PLZ
Glen Cove, NY 11542-2108
Phone (516) 671-9010

Other identifiers 1

IdentifierTypeStateIssuer
01800664MedicaidNY

Other names 1

  • Glen Cove Center for Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422000018 NY Part A Provider - Skilled Nursing Facility 8123155249 Practice locations: Glen Cove, NY

Skilled nursing facility certification: CCN 335716

Legal name
FOREST MANOR CARE CENTER INC
Doing business as
GLEN COVE CENTER FOR NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 4, 1992
Last certification
May 17, 2024
Beds
154
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 31, 1998 in NY
Enrollment address
6 Medical PLZ
Glen Cove, NY 11542-2108
Nursing home name
GLEN COVE CENTER FOR NURSING AND REHABILITATION
Affiliated entity
PARAGON HEALTHNET

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glen Cove Center for Nursing and RehabilitationCCN 335716
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 4, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
154136.5 residents per day on average
Chain
Paragon Healthnet11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2191602Glen Cove Center for Nursing and Rehab6 Medical Plaza, Glen Cove, NY 11542Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

8 Medical Plz
Glen Cove, NY 11542
Phone (516) 759-5541

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Marvin J. Ostreicher Individual 5% Or Greater Direct Ownership Interest Mar 31, 1998 9.6%
John a Reyes Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Nov 12, 2025
Issac Laufer Individual 5% Or Greater Direct Ownership InterestOwner/Member Apr 1, 2010 5%
Managing Control - Governing Body Jan 2, 2008
Adp of the SNF Jan 2, 2008
Estate of Mayer Laufer Organization, Glen Cove, NY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2022 32.54%
Alexander Skoczylas Residual Trust Organization, Glen Cove, NY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2022 2.88%
Adp of the SNF Jan 2, 2008
Andrea Ruland Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 20, 2025
Gerald Neuman Individual 5% Or Greater Direct Ownership Interest Mar 31, 1998 11.53%
Michael Nichols Individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 3.97%
Managing Control - Governing Body Jan 2, 2008
Adp of the SNF Jan 2, 2008
Jay Itzkowitz Individual Operational/Managerial Control Jan 1, 2023
6 Medical Plaza LLC Organization, Glen Cove, NY LLC Adp of the SNF Nov 20, 2025
Estate of Tali Skoczylas Organization, Glen Cove, NY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2022 11.53%
Adp of the SNF Jan 2, 2008
Josef Skoczylas Individual 5% Or Greater Direct Ownership Interest Jan 1, 2022 2.88%
Nathan Brach Individual 5% Or Greater Direct Ownership Interest Mar 31, 1998 7.69%
Managing Control - Governing Body Mar 31, 1998
Adp of the SNF Jan 2, 2008
Isaac Madeb Individual 5% Or Greater Direct Ownership Interest Jan 1, 2000 8.41%
Nancy Nichols Individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 3.97%
Managing Control - Governing Body Jan 2, 2008
Adp of the SNF Jan 2, 2008

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1366438418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PLZ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422108",
            "telephone_number": "516-671-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PLZ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422108",
            "telephone_number": "516-671-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST MANOR CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "POLIMENI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "516-671-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01800664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Cove Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.