Organization Active NPI

Atlantis Operating LLC

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1366847451
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ATLANTIS OPERATING LLC
Practice address
140 Saint Edwards St
Administration
Brooklyn, NY 11201-3904
Phone
(718) 858-6400
Fax
(718) 254-0375
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Mrs. Devorah Friedman
Title
Owner
Phone
(718) 858-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

140 Saint Edwards St
Administration
Brooklyn, NY 11201-3904

Mailing address

140 Saint Edwards St
Administration
Brooklyn, NY 11201-3904
Phone (718) 858-6400

Other names 1

  • The Phoenix Rehab and Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206001857 NY Part A Provider - Skilled Nursing Facility 8921323387 Practice locations: Brooklyn, NY

Skilled nursing facility certification: CCN 335516

Legal name
ATLANTIS OPERATING LLC
Doing business as
THE PHOENIX REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1976
Last certification
Sep 23, 2024
Beds
400
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 20, 2015
Organization structure
LLCProprietary
Incorporated
Sep 3, 2013 in NY
Enrollment address
140 Saint Edwards St
Brooklyn, NY 11201-3904
Nursing home name
THE PHOENIX REHABILITATION AND NURSING CENTER
Affiliated entity
CARERITE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Phoenix Rehabilitation and Nursing CenterCCN 335516
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
400396.1 residents per day on average
Chain
Carerite Centers34 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
33D2145458The Phoenix Rehabilitation and Nursing Center140 Saint Edwards Street, Brooklyn, NY 11201Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Tatiana Poulard Individual Adp of the SNF Nov 27, 2023
David Simcha Roll Individual Operational/Managerial Control Dec 20, 2021
Adp of the SNF Dec 20, 2021
Organization, Syosset, NY LLC Adp of the SNF Jul 7, 2025
Organization, Overland Park, KS Corporation Adp of the SNF Jul 7, 2025
Israel Minzer Individual 5% Or Greater Direct Ownership Interest Sep 24, 2013 5%
Adp of the SNF Sep 24, 2013
Individual Direct Ownership Interest Sep 3, 2013 2.5%
Organization, Cleveland, OH LLC Adp of the SNF Jul 7, 2025
Sanjay Ahuja Individual 5% Or Greater Direct Ownership Interest Sep 3, 2013 5%
Adp of the SNF Sep 3, 2013
Organization, Manalapan, NJ LLC Adp of the SNF Jul 7, 2025
Organization, Princeton, NJ LLC Adp of the SNF Jul 7, 2025
Sharon Einhorn Individual 5% Or Greater Direct Ownership Interest Sep 3, 2013 40%
Managing Control - Governing Body Sep 3, 2013
Devorah Friedman Individual 5% Or Greater Direct Ownership Interest Sep 3, 2013 40%
Corporate Officer Sep 3, 2013
Managing Control - Governing Body Sep 3, 2013
Individual Direct Ownership Interest Sep 3, 2013 2.5%
Olusegun Ogunfowora Individual Operational/Managerial Control Oct 2, 2018
Adp of the SNF Oct 2, 2018
Individual Direct Ownership Interest Sep 3, 2013 2.5%
Organization, Englewood Cliffs, NJ LLC Adp of the SNF Jun 20, 2025
Individual Direct Ownership Interest Sep 3, 2013 2.5%
Organization, Englewood Cliffs, NJ LLC Adp of the SNF Sep 3, 2013
Organization, Englewood Cliffs, NJ LLC Adp of the SNF Jul 7, 2025
Organization, Lakewood, NJ LLC Adp of the SNF Jul 7, 2025
Individual Adp of the SNF Jun 19, 2025
Organization, Brooklyn, NY Adp of the SNF Jul 7, 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 6

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

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": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1366847451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAINT EDWARDS ST",
            "address_2": "ADMINISTRATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013904",
            "telephone_number": "718-858-6400",
            "fax_number": "718-254-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAINT EDWARDS ST",
            "address_2": "ADMINISTRATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013904",
            "telephone_number": "718-858-6400",
            "fax_number": "718-254-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-858-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Phoenix Rehab and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.