Organization Active NPI

Cumberland Street Operating LLC

  • Skilled Nursing Facility
  • Little Rock, AR
National Provider Identifier
1427633353
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CUMBERLAND STREET OPERATING LLC
Practice address
1516 Cumberland St
Little Rock, AR 72202-5065
Phone
(501) 374-7565
NPI assigned
Mar 11, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Yisroel Ganz
Title
Incorporator
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1516 Cumberland St
Little Rock, AR 72202-5065

Mailing address

1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048
Phone (732) 366-5705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211207000125 AR Part A Provider - Skilled Nursing Facility 8224428214 Practice locations: Little Rock, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427633353. Details of each certification follow.

Skilled nursing facility certification: CCN 045359

Legal name
CUMBERLAND STREET OPERATING LLC
Doing business as
THE BLOSSOMS AT CUMBERLAND REHAB & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 27, 2000
Last certification
Jan 16, 2025
Beds
120
Ownership / control type
Corporation
Most recent change of ownership
Jan 23, 2019
Organization structure
LLCProprietary
Incorporated
Dec 1, 2020 in AR
Enrollment address
1516 Cumberland Street
Little Rock, AR 72202-5065
Nursing home name
THE BLOSSOMS AT CUMBERLAND REHAB & NURSING CENTER
Affiliated entity
THE BLOSSOMS REHAB & NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Blossoms at Cumberland Rehab & Nursing CenterCCN 045359 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 27, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12067.5 residents per day on average
Chain
The Blossoms Rehab & Nursing Center23 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $37,403

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0685221Blossoms at Cumberland1516 Cumberland, Little Rock, AR 72202Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Katherine Adams Individual W-2 Managing EmployeeAdministrator Apr 5, 2021 100%
Matisyohu Herzka Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 64.67%
Pine Tree Holding LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Apr 5, 2021 100%
MH Ar Opco LLC Organization, Lakewood, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 64.67%
ZCS Ar Opco LLC Organization, Lakewood, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 32.33%
Shlomo Z Scheinbaum Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 32.33%
Morris Schreiber Individual 5% Or Greater Indirect Ownership Interest Apr 5, 2021 10%

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

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": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1427633353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CUMBERLAND ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025065",
            "telephone_number": "501-374-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND STREET OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.