Organization Active NPI

BSD Care at Aj, LLC

Doing business as The Pines at Philadelphia Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1366904922
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BSD CARE AT AJ, LLC
Doing business as
The Pines at Philadelphia Rehabilitation and Healthcare Center
Practice address
8410 Roosevelt Blvd
Philadelphia, PA 19152-2012
Phone
(215) 708-1200
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Abraham Kraus
Title
Managing Member
Phone
(732) 333-8175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

8410 Roosevelt Blvd
Philadelphia, PA 19152-2012

Mailing address

8410 Roosevelt Blvd
Philadelphia, PA 19152-2012

Other names 1

  • The Pines at Philadelphia Rehabilitation and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190621001155 PA Part A Provider - Skilled Nursing Facility 7315271517 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366904922. Details of each certification follow.

Skilled nursing facility certification: CCN 396070

Legal name
BSD CARE AT AJ LLC
Doing business as
THE PINES AT PHILADELPHIA REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
May 18, 2000
Last certification
Sep 12, 2024
Beds
49
Ownership / control type
Corporation
Multi-facility organization
Paramount Care Centers
Organization structure
CorporationProprietary
Incorporated
Mar 26, 2019 in PA
Enrollment address
8410 Roosevelt Blvd
Philadelphia, PA 19152-2012
Nursing home name
THE PINES AT PHILADELPHIA REHAB AND HEALTHCARE CTR
Affiliated entity
PARAMOUNT CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Pines at Philadelphia Rehab and Healthcare CtrCCN 396070 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
May 18, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4947.3 residents per day on average
Chain
Paramount Care Centers10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Morton Paneth Individual 5% Or Greater Direct Ownership Interest May 31, 2019 8.33%
Shawne Mimna Individual W-2 Managing EmployeeAdministrator May 31, 2019 100%
Abraham Kraus Individual 5% Or Greater Direct Ownership Interest May 31, 2019 75%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1366904922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522012",
            "telephone_number": "215-708-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSD CARE AT AJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-333-8175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines at Philadelphia Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.