Organization Active NPI

Northwoods Operations Associates

Doing business as Northwoods Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Moravia, NY
National Provider Identifier
1386050995
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0526303N Issued in NY
Legal business name
NORTHWOODS OPERATIONS ASSOCIATES
Doing business as
Northwoods Rehabilitation and Nursing Center
Practice address
7 Keeler Ave
Moravia, NY 13118-3688
Phone
(315) 497-0440
NPI assigned
Jul 2, 2014
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Boruch Sheps
Title
Managing Member
Phone
(718) 931-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0526303N NY Primary

Addresses

Primary practice location

7 Keeler Ave
Moravia, NY 13118-3688

Mailing address

17 Pennington Way
Spring Valley, NY 10977-1414
Phone (845) 517-0965

Other names 1

  • Northwoods Rehabilitation 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
O20141103000150 NY Part A Provider - Skilled Nursing Facility 3375764541 Practice locations: Moravia, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386050995. Details of each certification follow.

Skilled nursing facility certification: CCN 335077

Legal name
NORTHWOODS OPERATIONS ASSOCIATES
Doing business as
NORTHWOODS REHABILITATION & NURSING CENTER AT MORAVIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jun 13, 2024
Beds
40
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 27, 2013 in NY
Enrollment address
7 Keeler Ave
Moravia, NY 13118-3688
Nursing home name
NORTHWOODS REHAB AND NURSING CENTER AT MORAVIA
Affiliated entity
STERN CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northwoods Rehab and Nursing Center at MoraviaCCN 335077 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4035.3 residents per day on average
Chain
Stern Consultants22 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
33D0672582Northwoods Rehabilitation & Nursing Center7 Keeler Avenue, Moravia, NY 13118Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Boruch Sheps Individual 5% Or Greater Direct Ownership Interest Nov 27, 2013 99%
Operational/Managerial Control Jan 1, 2019 99%
Rochel Strom Individual Operational/Managerial Control Jan 1, 2019 1%

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 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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1386050995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PENNINGTON WAY",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771414",
            "telephone_number": "845-517-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KEELER AVE",
            "city": "MORAVIA",
            "state": "NY",
            "postal_code": "131183688",
            "telephone_number": "315-497-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS OPERATIONS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "SHEPS",
        "authorized_official_first_name": "BORUCH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0526303N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moravia, NY

Sources for this page

Verify at the official NPI Registry.