Organization Active NPI

Emerald Nursing & Rehab Brookside LLC

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1437812096
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Apr 11, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 285049 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 3, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17394.2 residents per day on average
Chain
Emerald Healthcare14 facilities in the chain
Penalties (3 years)
5Fines totaling $37,998

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Brian Gopin Individual Operational/Managerial Control Apr 22, 2022
Adp of the SNF Apr 22, 2022
Merch Pay Inc Organization, Brooklyn, NY Financial institution, For-profit Adp of the SNF Apr 29, 2022
Amy Fish Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Brookside Opco Holdings LLC Organization, Woodmere, NY LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Jan 15, 2024 100%
Jacob I Walden Individual Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 29, 2022
Indirect Ownership Interest Jan 15, 2024 51%
Evolve Therapy Services LLC Organization, Huron, OH LLC, Consulting firm, For-profit Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 1, 2025
David Fleischmann Individual Operational/Managerial Control Apr 22, 2022
Adp of the SNF Apr 22, 2022
Yisroel I Chafetz Individual Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 29, 2022
Indirect Ownership Interest Jan 15, 2024 49%
Limestone Fiscal Services LLC Organization, Woodmere, NY Consulting firm, For-profit Operational/Managerial Control Jul 1, 2024
Adp of the SNF Apr 1, 2025
Jeri Jo Wichman Individual Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 29, 2022
Saul N Friedman & Company Organization, Brooklyn, NY Consulting firm, For-profit Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 1, 2025
Melinda Molt Individual Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 29, 2022
Paige Pearson Individual Operational/Managerial Control Apr 22, 2024
Adp of the SNF Apr 22, 2024
Zimmet Healthcare Services Group LLC Organization, Manalapan, NJ LLC, Consulting firm, For-profit Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 1, 2025
Keybank National Association Organization, Brooklyn, OH Corporation, Financial institution, For-profit Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 15, 2025
Arif a Sattar Individual Operational/Managerial Control Apr 29, 2022
Adp of the SNF Apr 29, 2022
Wellsky Corporation Organization, Overland Park, KS Consulting firm, For-profit Operational/Managerial Control Apr 1, 2023
Adp of the SNF Apr 1, 2025
Emerald Healthcare LLC Organization, Woodmere, NY Consulting firm, For-profit 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.

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.