1700 Market Street Operations LLC
Organization Active NPI Skilled Nursing Facility · Camp Hill, PA
NPI 1417667163 · NPPES record last updated Jan 6, 2023
Key facts
- NPI
- 1417667163
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 1700 MARKET STREET OPERATIONS LLC
- Practice address
- 1700 Market St
Camp Hill, PA 17011-4817 - Phone
- (610) 444-6350
- NPI assigned
- Dec 2, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- GENESIS PM PA OPERATIONS LLC
Authorized official
- Name
- Michael T Berg, JD
- Title
- VP and Asst Secretary
- Phone
- (505) 468-4742
Owners & managing parties with NPI records 1
-
Rashid Anjum, MD
Facilities with the same owner 178
Practitioners 2
-
Rashid Anjum, MD
Affiliated clinicians 2
-
Rashid Anjum, MD
Medicare Care Compare: Nursing home
- Listed as
- Camp Hill Skilled Nursing and Rehabilitation Ctr
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1979
- Medicare certification status
- Active
- Certified beds
- 123 · 117.2 residents per day on average
- Chain
- Genesis Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 395440
- Legal name
- 1700 MARKET STREET OPERATIONS LLC
- Doing business as
- CAMP HILL SKILLED NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1979
- Last certification
- Jan 16, 2025
- Beds
- 123
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis Healthcare Inc.
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 14, 2022 in PA
- Enrollment address
- 1700 Market St
Camp Hill, PA 17011-4817 - Nursing home name
- CAMP HILL SKILLED NURSING AND REHABILITATION CTR
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford |
Corporate Officer |
Jun 1, 2024 | 100% |
| |
Adp of the SNF | Feb 14, 2025 | |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2020 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| Randy Holtry |
Operational/Managerial Control | Dec 10, 2022 | |
| Adp of the SNF | Feb 14, 2025 | ||
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| Diane Louise Morris |
Operational/Managerial Control | Apr 1, 2024 | |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 5.2% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 65.3% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 5.7% |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
Jun 1, 2024 | 100% |
| Michael T Berg |
Corporate Officer |
Nov 14, 2022 | 100% |
| Genesis PM PA Operations LLC |
5% Or Greater Direct Ownership Interest | Nov 14, 2022 | 100% |
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| |
Adp of the SNF | Feb 14, 2025 | |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 14, 2022 | 100% |
| Rashid Anjum |
Operational/Managerial Control | Feb 14, 2025 | |
| Adp of the SNF | Feb 14, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230216001728 | PA | Part a Provider - Skilled Nursing Facility | 6901278183 | Practice locations: Camp Hill, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1700 Market St
Camp Hill, PA 17011-4817
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020629270001 | Medicaid | PA |
Other names
- CAMP HILL SKILLED NURSING AND REHABILITATION CENTER
Other providers in Camp Hill, PA
- 1700 Market St. Opco, LLC
- 1700 Market Street Opco LLC
- 365 Hospice, LLC
- Sharon Brewer Abayasekara
- Manar Abdel Wahab
- Daniel Benjamin Abel
- Ableway LLC
All providers in Camp Hill, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.