Active NPI
Webster Park Operator LLC
- Skilled Nursing Facility
- Rockland, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0609
- Legal business name
- WEBSTER PARK OPERATOR LLC
- Practice address
- 56 Webster Street
Rockland, MA 02370 - Phone
- (781) 871-0555
- Fax
- (781) 871-1832
- NPI assigned
- May 31, 2013
- 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
- Mr. Nachum Rokeach
- Title
- VP of Operations
- Phone
- (732) 232-9217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0609 | MA | Primary |
Addresses
Primary practice location
56 Webster Street
Rockland, MA 02370
Mailing address
575 Route 70
Second Floor
Brick, NJ 08723-4042
Phone (732) 606-5973
Other names 1
- Webster Park Rehabilitation and Healthcare Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130731000693 | MA | Part A Provider - Skilled Nursing Facility | 0143461251 | Practice locations: Rockland, MA |
Skilled nursing facility certification: CCN 225184A
- Legal name
- WEBSTER PARK OPERATOR LLC
- Doing business as
- WEBSTER PARK REHAB AND HEALTH CARE CENTER
- Organization structure
- LLC
- Enrollment address
- 56 Webster St
Rockland, MA 02370-1737 - Nursing home name
- WEBSTER PARK REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- MARQUIS HEALTH SERVICES
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0687536 | Webster Park Operator, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Coyne Healthcare Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Rockland, MA
- NPI 1457340069
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Peoples United Bank | 5% Or Greater Security Interest | Dec 10, 2018 | |
| Quinto Guardian LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2013 | 85% |
| Yr 2013 Investment Trust U/a/D 3/25/13 | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 21.25% |
| Sami Al-Madi | Corporate Director | Nov 29, 2021 | |
| W-2 Managing Employee | Nov 29, 2021 | ||
| Charlotte Kohn | 5% Or Greater Direct Ownership Interest | Dec 1, 2013 | 15% |
| Tryko Guardian Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 63.75% |
| Mindee Posen | Corporate Officer | Jan 1, 2022 | |
| Kohn Fam TR GST Exempt Uad 3-25-13 | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 21.25% |
| Rsbrmk Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 21.25% |
| NFR 2020 Irrv TR | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 21.25% |
| SK 2013 Investment TR Ua 03252013 | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 21.25% |
Facilities with the same owner 76
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Haverhill, MA
- NPI 1265177596
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Danvers, MA
- NPI 1851731665
Kohn Fam TR GST Exempt Uad 3-25-13, NFR 2020 Irrv TR, Quinto Guardian LLC, Rsbrmk Holdings LLC, SK 2013 Investment TR Ua 03252013, Tryko Guardian Holdings LLC, Yr 2013 Investment Trust U/a/D 3/25/13
-
- Skilled Nursing Facility
- Brighton, MA
- NPI 1104717255
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Brewster, MA
- NPI 1164252961
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Methuen, MA
- NPI 1396198073
Kohn Fam TR GST Exempt Uad 3-25-13, NFR 2020 Irrv TR, Quinto Guardian LLC, Rsbrmk Holdings LLC, SK 2013 Investment TR Ua 03252013, Tryko Guardian Holdings LLC
-
- Skilled Nursing Facility
- Wilbraham, MA
- NPI 1649078726
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Revere, MA
- NPI 1760212567
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Holyoke, MA
- NPI 1922415470
Kohn Fam TR GST Exempt Uad 3-25-13, NFR 2020 Irrv TR, Quinto Guardian LLC, Rsbrmk Holdings LLC, SK 2013 Investment TR Ua 03252013, Tryko Guardian Holdings LLC, Yr 2013 Investment Trust U/a/D 3/25/13
-
- Skilled Nursing Facility
- Boston, MA
- NPI 1508386897
Kohn Fam TR GST Exempt Uad 3-25-13, NFR 2020 Irrv TR, Quinto Guardian LLC, Rsbrmk Holdings LLC, SK 2013 Investment TR Ua 03252013, Tryko Guardian Holdings LLC
-
- Skilled Nursing Facility
- Chelmsford, MA
- NPI 1922806009
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Alexandria, VA
- NPI 1780304055
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
-
- Skilled Nursing Facility
- Allendale, NJ
- NPI 1154902252
NFR 2020 Irrv TR, Rsbrmk Holdings LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fall River, MA
- NPI 1629277454
-
- Internal Medicine Physician
- Hingham, MA
- NPI 1053488098
-
- Family Medicine Physician
- Brockton, MA
- NPI 1679587356
-
- Internal Medicine Physician
- Miami, FL
- NPI 1144459876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1447697461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 ROUTE 70",
"address_2": "SECOND FLOOR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234042",
"telephone_number": "732-606-5973",
"fax_number": "732-608-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 WEBSTER STREET",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "02370",
"telephone_number": "781-871-0555",
"fax_number": "781-871-1832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER PARK OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-31",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "ROKEACH",
"authorized_official_first_name": "NACHUM",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "732-232-9217",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "0609",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Webster Park Rehabilitation and Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.