NPIMap

Organization Active NPI

KPRH IV Operations LLC

  • Skilled Nursing Facility
  • Flushing, NY
National Provider Identifier
1376931360
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KPRH IV OPERATIONS LLC
Practice address
13966 35TH Ave
Flushing, NY 11354-3524
Phone
(718) 961-5300
NPI assigned
Dec 29, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Bent Philipson
Title
Manager
Phone
(516) 869-3700

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

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

Practitioners 5

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cypress Garden Center for Nursing and RehabilitatiCCN 335446
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
Jul 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
278261.5 residents per day on average
Chain
Excelsior Care Group33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150420001703 NY Part A Provider - Skilled Nursing Facility 8527386713 Practice locations: Flushing, NY

Skilled nursing facility certification: CCN 335446

Legal name
KPRH IV OPERATIONS LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1975
Last certification
Sep 23, 2024
Beds
278
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Dec 5, 2013 in NY
Enrollment address
13962 35TH Ave
Flushing, NY 11354-3524
Nursing home name
CYPRESS GARDEN CENTER FOR NURSING AND REHABILITATION
Affiliated entity
EXCELSIOR CARE GROUP

All disclosed owners & managing parties 11

Medicare enrollment files

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

NameRoleSinceShare
Moshe Steinberg Individual Operational/Managerial Control Jul 12, 2019
Adp of the SNF Jul 12, 2019
Cheskel David Berkowitz Individual 5% Or Greater Direct Ownership InterestMember Dec 5, 2013 38.89%
Managing Control - Governing BodyMember Dec 5, 2013
Adp of the SNF Dec 5, 2013
Leah Friedman Individual 5% Or Greater Direct Ownership Interest Dec 5, 2013 10%
Adp of the SNF Dec 5, 2013
Sheya Landa Individual 5% Or Greater Direct Ownership Interest Dec 5, 2013 24.45%
Ezra M Krieger Individual Operational/Managerial Control Jan 22, 2024
Adp of the SNF Jan 22, 2024
Samuel Stern Individual Operational/Managerial Control Jul 21, 2019
Aleem Anthony Ali Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Alice a Gatasi Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Rochel David Individual 5% Or Greater Direct Ownership InterestMember Dec 5, 2013 10%
Adp of the SNF Dec 5, 2013
David Rubenstein Individual 5% Or Greater Direct Ownership InterestMember Dec 5, 2013 16.66%
Adp of the SNF Dec 5, 2013
Excelsior Care Group Organization, Brooklyn, NY LLC Operational/Managerial Control Jul 12, 2019
Adp of the SNF Nov 11, 2025

National Provider Directory

National Provider Directory
Tax ID family
Cypress Garden Center for Nursing and Re2 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

13962 35th Ave
Flushing, NY 11354
Phone (718) 762-8635

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NY Primary

Addresses

NPPES NPI Registry

Primary practice location

13966 35TH Ave
Flushing, NY 11354-3524

Mailing address

13966 35TH Ave
Flushing, NY 11354-3524

Other names 1

NPPES NPI Registry
  • CYPRESS GARDEN CENTER FOR NURSING AND REHAB Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2015.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1376931360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13966 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13966 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543524",
            "telephone_number": "718-961-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPRH IV OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "PHILIPSON",
        "authorized_official_first_name": "BENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYPRESS GARDEN CENTER FOR NURSING AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.