Organization Active NPI

The Palace Rehabilitation and Care Center LLC

  • Skilled Nursing Facility
  • Maple Shade, NJ
National Provider Identifier
1366698920
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0141283MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, theCCN 315263 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 24, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
165160.6 residents per day on average
Chain
The Rosenberg Family16 facilities in the chain
Penalties (3 years)
1Fines totaling $6,143

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
31D1096542Palace Rehabilitation and Care Center, the315 West Mill Road, Maple Shade, NJ 08052Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
The Palace Rehabilitation and Care Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
The Palace Associates LLC Organization, Maple Shade, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 1, 2007 100%
Adp of the SNF Jan 1, 2007
Samuel Stern Individual Corporate OfficerCfo Sep 7, 2007
Adp of the SNF Sep 7, 2007
Latifa a Scott Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Apr 8, 2025
Jonathan Rosenberg Individual 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 Individual 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 Individual 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.

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 4

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": "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

Sources for this page

Verify at the official NPI Registry.