NPIMap

Organization Active NPI

Duluth Nursing and Rehabilitation Center, LLC

Doing business as Bayshore Residence and Rehabilitation Center

  • Skilled Nursing Facility
  • Duluth, MN
National Provider Identifier
1386006955
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DULUTH NURSING AND REHABILITATION CENTER, LLC
Doing business as
Bayshore Residence and Rehabilitation Center
Practice address
1601 Saint Louis Ave
Duluth, MN 55802-2442
Phone
(218) 727-8651
Fax
(218) 727-1761
NPI assigned
Mar 23, 2016
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mr. Ephram Mordy Lahasky
Title
President/Manager
Phone
(646) 772-3668

Specialties & licenses 1

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

Addresses

Primary practice location

1601 Saint Louis Ave
Duluth, MN 55802-2442

Mailing address

1601 Saint Louis Ave
Duluth, MN 55802-2442
Phone (218) 727-8651

Other names 1

  • Bayshore Residence and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160606000455 MN Part A Provider - Skilled Nursing Facility 5294025151 Practice locations: Duluth, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386006955. Details of each certification follow.

Skilled nursing facility certification: CCN 245227

Legal name
DULUTH NURSING AND REHABILITATION CENTER LLC
Doing business as
BAYSHORE RESIDENCE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 22, 1979
Last certification
Apr 17, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 1, 2015 in MN
Enrollment address
1601 Saint Louis Ave
Duluth, MN 55802-2442
Nursing home name
BAYSHORE RESIDENCE AND REHABILITATION CENTER
Affiliated entity
EPHRAM LAHASKY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bayshore Residence and Rehabilitation CenterCCN 245227 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 22, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14098.2 residents per day on average
Chain
Ephram Lahasky22 facilities in the chain
Penalties (3 years)
3Fines totaling $132,398

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bayshore Residence and Rehabilitation Center2 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.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ephram M Lahasky Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 19.9%
Lme Family Holdings LLC Organization, Lawrence, NY LLC 5% Or Greater Direct Ownership Interest Jun 1, 2019 19.9%
Don F Babbitt Individual W-2 Managing EmployeeAdministrator Mar 31, 2016 100%
Cbay Bayshore Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 31, 2016 12.5%
Akiko Ike Individual 5% Or Greater Direct Ownership InterestOwner Jun 1, 2019 26%
MB Duluth Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 31, 2016 20.8%
Joshua Farkovits Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Mar 31, 2016 20.8%
Abe Katz Individual 5% Or Greater Direct Ownership InterestOwner Mar 31, 2016 20.8%

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 2

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1386006955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAINT LOUIS AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022442",
            "telephone_number": "218-727-8651",
            "fax_number": "218-727-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAINT LOUIS AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022442",
            "telephone_number": "218-727-8651",
            "fax_number": "218-727-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_middle_name": "MORDY",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Residence and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.