Active NPI
Haym Salomon Home for the Aged LLC
- Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7001369N
- Legal business name
- HAYM SALOMON HOME FOR THE AGED LLC
- Practice address
- 2340 Cropsey Ave
Brooklyn, NY 11214-5706 - Phone
- (718) 535-9500
- NPI assigned
- Oct 7, 2005
- Last updated
- May 31, 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
- Mr. Chaim Lipschitz
- Title
- Administrator
- Phone
- (718) 535-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7001369N | NY | Primary |
Addresses
Primary practice location
2340 Cropsey Ave
Brooklyn, NY 11214-5706
Mailing address
2340 Cropsey Ave
Brooklyn, NY 11214-5706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01819167 | Medicaid | NY | |
| 00308503 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100312000005 | NY | Part A Provider - Skilled Nursing Facility | 6305971656 | Practice locations: Brooklyn, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407844194. Details of each certification follow.
Skilled nursing facility certification: CCN 335656
- Legal name
- HAYM SALOMON HOME FOR THE AGED, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 2, 1982
- Last certification
- Nov 7, 2024
- Beds
- 240
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Enrollment address
- 2340 Cropsey Ave
Brooklyn, NY 11214-5706 - Nursing home name
- HAYM SOLOMON HOME FOR THE AGED
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Haym Solomon Home for the Aged
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jun 2, 1982
- Medicare certification status
- Active
- Certified beds
- 240
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Haym Salomon Home for Aged
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Brooklyn, NY
- NPI 1740564244
Ownership & related parties
All disclosed owners & managing parties 28
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 |
|---|---|---|---|
| Morton Paneth | 5% Or Greater Direct Ownership Interest | Sep 1, 2020 | 12.66% |
| Krystyna Bayron | Operational/Managerial Control | Apr 1, 2019 | |
| Samuel Lipschitz | 5% Or Greater Direct Ownership Interest | Oct 29, 2008 | 11.25% |
| Adp of the SNF | Oct 29, 2008 | ||
| Yana Golubitskaya | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Olga Lipschitz | 5% Or Greater Direct Ownership Interest | Oct 29, 2008 | 5% |
| Adp of the SNF | Oct 28, 2009 | ||
| Caterina Ruggieri | Operational/Managerial Control | Mar 15, 2021 | |
| Adp of the SNF | Mar 15, 2021 | ||
| Elliot Lipschitz | 5% Or Greater Direct Ownership Interest | Oct 29, 2008 | 11.25% |
| Adp of the SNF | Oct 29, 2008 | ||
| Emmanuel Medalla | Operational/Managerial Control | Jan 2, 2002 | |
| Adp of the SNF | Jan 2, 2002 | ||
| Pearl Kahan | 5% Or Greater Direct Ownership Interest | Oct 29, 2008 | 11.25% |
| Adp of the SNF | Oct 29, 2008 | ||
| Adp of the SNF | May 15, 1998 | ||
| Lubov Ruvinova | Operational/Managerial Control | Dec 15, 2024 | |
| Adp of the SNF | Dec 15, 2024 | ||
| Chaim Howard Lipschitz | 5% Or Greater Direct Ownership Interest | Oct 29, 2008 | 11.25% |
| Operational/Managerial Control | Nov 11, 2002 | ||
| Adp of the SNF | Nov 11, 2002 | ||
| Adp of the SNF | Jan 26, 2017 | ||
| Wesley R Trinidad | Operational/Managerial Control | May 8, 2023 | |
| Adp of the SNF | May 8, 2023 | ||
| Christian Garcia | Operational/Managerial Control | Jun 1, 2022 | |
| Cynthia James | Operational/Managerial Control | Jan 30, 2023 | |
| Adp of the SNF | Jan 30, 2023 | ||
| Adp of the SNF | Jan 26, 2017 | ||
| Delania Delarosa | Operational/Managerial Control | Jul 31, 2023 | |
| Adp of the SNF | Jul 31, 2023 | ||
| Adp of the SNF | Sep 15, 2014 | ||
| Adp of the SNF | Jan 26, 2017 | ||
| Gaspar Ramirez | Operational/Managerial Control | Apr 11, 2023 | |
| Leah Werner Estate | 5% Or Greater Direct Ownership Interest | Jan 11, 2024 | 18.68% |
| Fishel Lipschitz | Operational/Managerial Control | Mar 1, 2018 | |
| Adp of the SNF | Mar 1, 2018 | ||
| Anton Babushkin | Operational/Managerial Control | Feb 17, 2025 | |
| Adp of the SNF | Feb 17, 2025 | ||
| Renee Gellis | Limited Partnership Interest | Sep 1, 2020 | 2.5% |
| Tziporah Paneth | 5% Or Greater Direct Ownership Interest | Oct 29, 2009 | 13.67% |
| Michelle Juliet Grunwald | Limited Partnership Interest | Sep 1, 2020 | 2.5% |
| Maya Baely | Operational/Managerial Control | Dec 31, 2012 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1285911818
Adp of the SNF, Operational/Managerial Control
-
- Physical Therapist
- Staten Island, NY
- NPI 1730431727
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1285911818
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": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464652800000",
"number": "1407844194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 CROPSEY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 CROPSEY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145706",
"telephone_number": "718-535-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYM SALOMON HOME FOR THE AGED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2016-05-31",
"status": "A",
"authorized_official_last_name": "LIPSCHITZ",
"authorized_official_first_name": "CHAIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-535-9500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7001369N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01819167",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00308503",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.