Active NPI
Northwoods Operations Associates
Doing business as Northwoods Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Moravia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0526303N
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Moravia
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 40
- Chain
- Stern Consultants
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0672582 | Northwoods Rehabilitation & Nursing Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Boruch Sheps | 5% Or Greater Direct Ownership Interest | Nov 27, 2013 | 99% |
| Operational/Managerial Control | Jan 1, 2019 | 99% | |
| Rochel Strom | 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.
-
- Internal Medicine Physician
- Marcellus, NY
- NPI 1174693170
-
- Speech-Language Pathologist
- Spring Valley, NY
- NPI 1730494717
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.