Organization Active NPI

Webster Park Operator LLC

  • Skilled Nursing Facility
  • Rockland, MA
National Provider Identifier
1447697461
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0609 Issued in MA
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

Updated by the provider on Apr 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 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
22D0687536Webster Park Operator, LLC56 Webster Street, Rockland, MA 02370Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Coyne Healthcare Center2 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 11

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

NameRoleSinceShare
Peoples United Bank Organization, Melville, NY Financial institution 5% Or Greater Security Interest Dec 10, 2018
Quinto Guardian LLC Organization, Brick, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Dec 1, 2013 85%
Yr 2013 Investment Trust U/a/D 3/25/13 Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2013 21.25%
Sami Al-Madi Individual Corporate Director Nov 29, 2021
W-2 Managing EmployeeAdministrator Nov 29, 2021
Charlotte Kohn Individual 5% Or Greater Direct Ownership Interest Dec 1, 2013 15%
Tryko Guardian Holdings LLC Organization, Brick, NJ LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2013 63.75%
Mindee Posen Individual Corporate OfficerMedicare Administration Officer Jan 1, 2022
Kohn Fam TR GST Exempt Uad 3-25-13 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Dec 31, 2021 21.25%
Rsbrmk Holdings LLC Organization, Brick, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2021 21.25%
NFR 2020 Irrv TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 21.25%
SK 2013 Investment TR Ua 03252013 Organization, Chicago, IL 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.

View all 76

Practitioners & affiliated clinicians

Practitioners 4

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": "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

Verify at the official NPI Registry.