Organization Active NPI

Laurel Brook Operator LLC

Doing business as Laurel Brook Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Mount Laurel, NJ
National Provider Identifier
1376063651
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAUREL BROOK OPERATOR LLC
Doing business as
Laurel Brook Rehabilitation and Healthcare Center
Practice address
3718 Church Rd
Mount Laurel, NJ 08054-1104
Phone
(856) 235-7100
NPI assigned
Jun 27, 2017
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Ms. Mindee Posen, CPA
Title
Medicare Administration Officer
Phone
(732) 903-1958

Specialties & licenses 1

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

Addresses

Primary practice location

3718 Church Rd
Mount Laurel, NJ 08054-1104

Mailing address

635 Duquesne Blvd
Brick, NJ 08723-5073
Phone (732) 903-1958

Other names 1

  • LAUREL BROOK REHABILITATION AND HEALTHCARE CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170818001769 NJ Part A Provider - Skilled Nursing Facility 4486926839 Practice locations: Mount Laurel, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376063651. Details of each certification follow.

Skilled nursing facility certification: CCN 315524

Legal name
LAUREL BROOK OPERATOR LLC
Doing business as
LAUREL BROOK REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 28, 2017
Last certification
Oct 16, 2024
Beds
220
Ownership / control type
Corporation
Multi-facility organization
Marquis Consulting Services
Organization structure
LLCProprietary
Incorporated
May 30, 2017 in NJ
Enrollment address
3718 Church Rd
Mount Laurel, NJ 08054-1104
Nursing home name
LAUREL BROOK REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
MARQUIS HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurel Brook Rehabilitation and Healthcare CenterCCN 315524 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 28, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
220201.0 residents per day on average
Chain
Marquis Health Services87 facilities in the chain
Penalties (3 years)
2Fines totaling $51,495

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
31D2200495Laurel Brook Operator, LLC3718 Church Road, Mount Laurel, NJ 08054Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Yr 2013 Investment TR Ua 03252013 Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Aug 7, 2017 22.5%
Dina Harman Individual Managing Control - Governing BodyMember of Governing Body Aug 7, 2017
Adp of the SNF Aug 7, 2017
Quinto Guardian LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 7, 2017 90%
Reliant Pro Rehab LLC Organization, Plano, TX LLC, Medical provider/supplier, For-profit Operational/Managerial Control Aug 7, 2017
Adp of the SNF Apr 7, 2025
Ukr Consulting LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2017 10%
Marquis Limited LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control Aug 7, 2017
Adp of the SNF Apr 7, 2025
Tryko Guardian Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2017 67.5%
Mindee Posen Individual Corporate OfficerMedicare Administration Officer Aug 17, 2017
Adp of the SNF Aug 7, 2017
Kohn Fam TR GST Exempt Uad 3-25-13 Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Aug 7, 2017 22.5%
Rsbrmk Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 7, 2017 22.5%
Organization, Manalapan, NJ LLC, Consulting firm, For-profit Adp of the SNF Apr 9, 2025
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Apr 7, 2025
NFR 2020 Irrv TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Aug 7, 2017 22.5%
Laurel Brook Property LLC Organization, Brick, NJ LLC, For-profit Adp of the SNF Aug 7, 2017
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Apr 7, 2025
Andrew J Blank Individual Operational/Managerial Control Aug 7, 2017
Adp of the SNF Aug 7, 2017
Gary Bauer Individual Managing Control - Governing BodyMember of Governing Body Aug 7, 2017
Adp of the SNF Aug 7, 2017
Lauren Pote Individual Corporate Director Aug 7, 2017
Operational/Managerial Control Aug 7, 2017
Managing Control - Governing BodyMember of Governing Body Aug 7, 2017
Adp of the SNF Aug 7, 2017
Organization, Monsey, NY Corporation, Consulting firm, For-profit Adp of the SNF Apr 10, 2025
Yogesh V Viroja Individual Managing Control - Governing BodyMember of Governing Body Aug 7, 2017
Adp of the SNF Aug 7, 2017
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Apr 7, 2025
Organization, New Canaan, CT LLC, Consulting firm, For-profit Adp of the SNF Apr 7, 2025
M&T Bank Organization, Paramus, NJ Corporation, Financial institution, For-profit 5% Or Greater Mortgage Interest Aug 7, 2017
SK 2013 Investment TR Ua 03252013 Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Aug 7, 2017 22.5%
Uak 2020 Irrv TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Aug 7, 2017 9.9%
Nutraco LLC Organization, Hollywood, FL LLC, Management services company, For-profit Operational/Managerial Control Aug 7, 2017
Adp of the SNF Apr 10, 2025

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 89

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

View all 89

Practitioners & affiliated clinicians

Practitioners 1

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 2

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": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1376063651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 DUQUESNE BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235073",
            "telephone_number": "732-903-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541104",
            "telephone_number": "856-235-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL BROOK OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "732-903-1958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LAUREL BROOK REHABILITATION AND HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.