Active NPI
Emerald Nursing & Rehab Brookside LLC
- Skilled Nursing Facility
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMERALD NURSING & REHAB BROOKSIDE LLC
- Practice address
- 4735 S 54TH St
Lincoln, NE 68516-1335 - Phone
- (516) 399-3051
- NPI assigned
- Oct 20, 2021
- 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
- David Fleishmann
- Title
- Controller
- Phone
- (516) 399-3051
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4735 S 54TH St
Lincoln, NE 68516-1335
Mailing address
945 N Central Ave
Woodmere, NY 11598-1604
Phone (516) 399-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220517000323 | NE | Part A Provider - Skilled Nursing Facility | 4880071646 | Practice locations: Lincoln, NE |
Skilled nursing facility certification: CCN 285049
- Legal name
- EMERALD NURSING & REHAB BROOKSIDE LLC
- Doing business as
- EMERALD NURSING & REHAB BROOKSIDE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 3, 1975
- Last certification
- Aug 22, 2024
- Beds
- 173
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Enrollment address
- 4735 S 54TH St
Lincoln, NE 68516-1335 - Nursing home name
- EMERALD NURSING & REHAB BROOKSIDE LLC
- Affiliated entity
- EMERALD HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Emerald Nursing & Rehab Brookside LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 3, 1975
- Medicare certification status
- Active
- Certified beds
- 173
- Chain
- Emerald Healthcare
- Penalties (3 years)
- 5
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Brian Gopin | Operational/Managerial Control | Apr 22, 2022 | |
| Adp of the SNF | Apr 22, 2022 | ||
| Merch Pay Inc | Adp of the SNF | Apr 29, 2022 | |
| Amy Fish | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Brookside Opco Holdings LLC | Direct Ownership Interest | Jan 15, 2024 | 100% |
| Jacob I Walden | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 29, 2022 | ||
| Indirect Ownership Interest | Jan 15, 2024 | 51% | |
| Evolve Therapy Services LLC | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 1, 2025 | ||
| David Fleischmann | Operational/Managerial Control | Apr 22, 2022 | |
| Adp of the SNF | Apr 22, 2022 | ||
| Yisroel I Chafetz | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 29, 2022 | ||
| Indirect Ownership Interest | Jan 15, 2024 | 49% | |
| Limestone Fiscal Services LLC | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Jeri Jo Wichman | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 29, 2022 | ||
| Saul N Friedman & Company | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Melinda Molt | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 29, 2022 | ||
| Paige Pearson | Operational/Managerial Control | Apr 22, 2024 | |
| Adp of the SNF | Apr 22, 2024 | ||
| Zimmet Healthcare Services Group LLC | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Keybank National Association | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Arif a Sattar | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 29, 2022 | ||
| Wellsky Corporation | Operational/Managerial Control | Apr 1, 2023 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Emerald Healthcare LLC | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1043253222
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Columbus, NE
- NPI 1710449426
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Cozad, NE
- NPI 1861955528
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Grand Island, NE
- NPI 1346702057
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Omaha, NE
- NPI 1851098461
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Omaha, NE
- NPI 1861953218
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Hot Springs, AR
- NPI 1659100980
Wellsky Corporation
-
- Skilled Nursing Facility
- Lexington, KY
- NPI 1164311098
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Newton, KS
- NPI 1003415415
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Zimmet Healthcare Services Group LLC
-
- Skilled Nursing Facility
- Pikeville, KY
- NPI 1265919344
Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1043253222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1437812096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 N CENTRAL AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981604",
"telephone_number": "516-399-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 S 54TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685161335",
"telephone_number": "516-399-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD NURSING & REHAB BROOKSIDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "FLEISHMANN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "516-399-3051"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.