NPIMap

Organization Active NPI

Renaissance Healthcare & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1427302280
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
420302 Issued in PA
Legal business name
RENAISSANCE HEALTHCARE & REHABILITATION CENTER LLC
Practice address
4712 Chester Ave
Philadelphia, PA 19143-3513
Phone
(732) 262-2255
Fax
(732) 262-3332
NPI assigned
Nov 1, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Meir Gelley
Title
Member
Phone
(732) 262-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 420302 PA Primary

Addresses

Primary practice location

4712 Chester Ave
Philadelphia, PA 19143-3513

Mailing address

260 Chambersbridge Rd
Brick, NJ 08723-2809
Phone (732) 262-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130102000142 PA Part A Provider - Skilled Nursing Facility 5890948764 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427302280. Details of each certification follow.

Skilled nursing facility certification: CCN 395628

Legal name
RENAISSANCE HEALTHCARE & REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1984
Last certification
Oct 3, 2024
Beds
123
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Nationwide Healthcare
Organization structure
LLCProprietary
Incorporated
Oct 16, 2012 in PA
Enrollment address
4712 Chester Avenue
Philadelphia, PA 19143-3513
Nursing home name
RENAISSANCE HEALTHCARE & REHABILITATION CENTER
Affiliated entity
NATIONWIDE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Renaissance Healthcare & Rehabilitation CenterCCN 395628 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123117.2 residents per day on average
Chain
Nationwide Healthcare Services7 facilities in the chain
Penalties (3 years)
1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Park Pleasant Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Nationwide Healthcare Services Organization, Brick, NJ For-profit Operational/Managerial Control Oct 16, 2012 100%
Meir Gelley Individual 5% Or Greater Direct Ownership Interest Jan 1, 2013 95%
Operational/Managerial ControlMember Oct 16, 2012 100%
Leah Gelley Individual 5% Or Greater Direct Ownership Interest Jan 1, 2013 5%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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 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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1427302280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CHAMBERSBRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232809",
            "telephone_number": "732-262-2255",
            "fax_number": "732-262-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433513",
            "telephone_number": "732-262-2255",
            "fax_number": "732-262-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "GELLEY",
        "authorized_official_first_name": "MEIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-262-2255"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "420302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.