Organization Active NPI

Good Samaritan Lutheran Health Care Center, Inc.

  • Skilled Nursing Facility
  • Delmar, NY
National Provider Identifier
1407976871
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0151300N Issued in NY
Legal business name
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER, INC.
Practice address
125 Rockefeller Rd
Delmar, NY 12054-2221
Phone
(518) 439-8116
Fax
(518) 475-1579
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Rafi Lehmann
Title
Administrator
Phone
(518) 439-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0151300N NY Primary

Addresses

Primary practice location

125 Rockefeller Rd
Delmar, NY 12054-2221

Mailing address

4770 White Plains Rd
Bronx, NY 10470-1104
Phone (718) 931-9700

Other identifiers 1

IdentifierTypeStateIssuer
00308567MedicaidNY

Other names 1

  • Delmar Center for Rehabilitation and Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100831000370 NY Part A Provider - Skilled Nursing Facility 1658495411 Practice locations: Delmar, NY

Skilled nursing facility certification: CCN 335735

Legal name
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC
Doing business as
BETHLEHEM COMMONS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 18, 1991
Last certification
Jan 23, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 13, 1972 in NY
Enrollment address
125 Rockefeller Rd
Delmar, NY 12054-2221
Nursing home name
DELMAR CENTER FOR REHABILITATION AND NURSING
Affiliated entity
CENTERS HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Delmar Center for Rehabilitation and NursingCCN 335735
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 18, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.4 residents per day on average
Chain
Centers Health Care36 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
John G Shane Individual Corporate DirectorBoard Member Jan 1, 2011
OtherBoard Member Jan 1, 2011
John F Ruth Individual Corporate DirectorBoard Member Jan 1, 1999
OtherBoard Member Jan 1, 1999
Good Samaritan Lutheran Health Care Center Inc Organization, Delmar, NY 5% Or Greater Direct Ownership Interest Feb 1, 1975 100%
Lynette E Taylor Individual Corporate DirectorBoard Member Jan 1, 1999
OtherBoard Member Jan 1, 1999
Arthur R Upright Individual Corporate OfficerBoard Vice Chair Jan 1, 2000
Corporate DirectorBoard Vice Chair Jan 1, 2000
OtherBoard Vice Chair Jan 1, 2000
Annette M Ball Individual Corporate DirectorBoard Member Dec 19, 2013
OtherBoard Member Dec 19, 2013
Barbara J Raczak Individual Corporate DirectorBoard Member Dec 19, 2013
OtherBoard Member Dec 19, 2013
Frank R Tripodi Individual Corporate OfficerPresident and Ceo and Board Memb Dec 15, 2010 100%
Corporate DirectorPresident and Ceo and Board Memb Dec 15, 2010
OtherPresident and Ceo and Board Memb Dec 15, 2010
Christopher J Jones Individual Corporate DirectorBoard Member Dec 19, 2013
OtherBoard Member Dec 19, 2013
Peter M Mazer Individual Corporate DirectorBoard Member Jan 1, 2005
OtherBoard Member Jan 1, 2005
Karen S Woodcock Individual W-2 Managing EmployeeAdministrator Sep 5, 2014 100%
The Lutheran Care Network Inc Organization, New Rochelle, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 13, 1972 100%
Laraine Fellegara Individual Corporate Officer Jan 1, 2021
Operational/Managerial ControlCfo Jan 1, 2010
OtherCfo Jan 1, 2010
Kenneth Rozenberg Individual Corporate DirectorCeo Jun 1, 2020
Louis J Albano Individual Corporate DirectorBoard Member Sep 1, 2015
OtherBoard Member Sep 1, 2015
Anna Mae Knowles Individual Corporate DirectorBoard Member Dec 19, 2013
OtherBoard Member Dec 19, 2016
Robert E Hartwell Individual Corporate DirectorBoard Member Sep 1, 2015
OtherBoard Member Sep 1, 2015
Alec C Davis Individual Corporate DirectorBoard Member Jan 1, 1995
OtherBoard Member Jan 1, 1995
Richard J Olson Individual Corporate DirectorBoard Member Jan 1, 1999
OtherBoard Member Jan 1, 1999
Brian E McWeeney Individual Corporate DirectorBoard Member Jan 1, 2005
OtherBoard Member Jan 1, 2005

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1407976871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROCKEFELLER RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542221",
            "telephone_number": "518-439-8116",
            "fax_number": "518-475-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-439-8116"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0151300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmar Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.