Active NPI
The Palace Rehabilitation and Care Center LLC
- Skilled Nursing Facility
- Maple Shade, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE PALACE REHABILITATION AND CARE CENTER LLC
- Practice address
- 315 W Mill Rd
Maple Shade, NJ 08052-2832 - Phone
- (718) 567-0400
- NPI assigned
- Aug 14, 2008
- Last updated
- May 8, 2023
- 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
- Chavie Katz
- Title
- Billing Manager
- Phone
- (718) 567-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
315 W Mill Rd
Maple Shade, NJ 08052-2832
Mailing address
Route 38 and Mill Road
Maple Shade, NJ 08052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141283 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080828000584 | NJ | Part A Provider - Skilled Nursing Facility | 5294801106 | Practice locations: Maple Shade, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366698920. Details of each certification follow.
Skilled nursing facility certification: CCN 315263
- Legal name
- THE PALACE REHABILITATION AND CARE CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 24, 1988
- Last certification
- Oct 29, 2024
- Beds
- 165
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Aug 8, 2007 in NJ
- Enrollment address
- 315W Mill Rd
Maple Shade, NJ 08052-2832 - Nursing home name
- PALACE REHABILITATION AND CARE CENTER, THE
- Affiliated entity
- THE ROSENBERG FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Palace Rehabilitation and Care Center, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 24, 1988
- Medicare certification status
- Active
- Certified beds
- 165
- Chain
- The Rosenberg Family
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 31D1096542 | Palace Rehabilitation and Care Center, the | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- The Palace Rehabilitation and Care Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Maple Shade, NJ
- NPI 1831316728
Locations
RT 1 and 18
New Brunswick, NJ 08901
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 |
|---|---|---|---|
| The Palace Associates LLC | 5% Or Greater Mortgage Interest | Jan 1, 2007 | 100% |
| Adp of the SNF | Jan 1, 2007 | ||
| Samuel Stern | Corporate Officer | Sep 7, 2007 | |
| Adp of the SNF | Sep 7, 2007 | ||
| Latifa a Scott | Operational/Managerial Control | Nov 1, 2024 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Jonathan Rosenberg | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 50% |
| 5% Or Greater Mortgage Interest | Sep 7, 2007 | 50% | |
| Adp of the SNF | Sep 7, 2007 | ||
| Esther Rosenberg | 5% Or Greater Direct Ownership Interest | Sep 7, 2007 | 50% |
| 5% Or Greater Mortgage Interest | Sep 7, 2007 | 50% | |
| Adp of the SNF | Sep 7, 2007 | ||
| Chetna a Dave | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
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
- Stratford, NJ
- NPI 1831179134
Adp of the SNF, Operational/Managerial Control
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.
-
- Pulmonary Disease Physician
- Merchantville, NJ
- NPI 1609852623
-
- Internal Medicine Physician
- Stratford, NJ
- NPI 1831179134
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1336458322
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1336458322
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1366698920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROUTE 38 AND MILL ROAD",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "08052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W MILL RD",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "080522832",
"telephone_number": "718-567-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PALACE REHABILITATION AND CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-14",
"last_updated": "2023-05-08",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "CHAVIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "718-567-0400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0141283",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maple Shade, NJ
- Stephen E Paul DO PA
- Steven Reiner, DPM
- Wilma Isabel Suero Castro
- The Difference of One Mentoring and Supportive Services, LLC
- The Difference of One Mentoring and Supportive Services, LLC
- Thywill Support Connections
- Warren Maurice Torchinsky, DDS
- Lisa Marie Troso, OTRL
- Cynthia Viens, PT
- Wasser & Edelstein, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.