Active NPI
Riverside Health and Rehabilitation Center LLC
- Skilled Nursing Facility
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIVERSIDE HEALTH AND REHABILITATION CENTER LLC
- Doing business as
- Riverside Health and Rehabilitation Center
- Practice address
- 325 Jersey St
Trenton, NJ 08611-3113 - Phone
- (609) 394-3400
- NPI assigned
- Jul 26, 2023
- 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
- Menachem Ruvel
- Title
- Manager
- Phone
- (516) 605-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
325 Jersey St
Trenton, NJ 08611-3113
Mailing address
325 Jersey St
Trenton, NJ 08611-3113
Phone (609) 394-3400
Other names 1
- Riverside Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240807000435 | NJ | Part A Provider - Skilled Nursing Facility | 0547707606 | Practice locations: Trenton, NJ |
Skilled nursing facility certification: CCN 315235
- Legal name
- RIVERSIDE HEALTH AND REHABILITATION CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 26, 1986
- Last certification
- Nov 25, 2024
- Beds
- 141
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- May 6, 2024
- Organization structure
- LLC
- Enrollment address
- 325 Jersey St
Trenton, NJ 08611-3113 - Nursing home name
- RIVERSIDE HEALTH AND REHABILITATION CENTER LLC
- Affiliated entity
- CHAMPION CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Riverside Health and Rehabilitation Center LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 26, 1986
- Medicare certification status
- Active
- Certified beds
- 141
- Chain
- Champion Care
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 |
|---|---|---|---|
| 31D2338575 | Riverside Health and Rehabilitation Center | Certificate of waiver | Feb 11, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Ephraim Fink | 5% Or Greater Indirect Ownership Interest | May 6, 2024 | 7.5% |
| Adp of the SNF | May 6, 2024 | ||
| Chaim Schneider | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Riverside NJ Realty Holdings LLC | Adp of the SNF | May 6, 2024 | |
| Anasse Souidi | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Champion Care LLC | Adp of the SNF | May 6, 2024 | |
| Menachem Ruvel | 5% Or Greater Indirect Ownership Interest | May 6, 2024 | 46.25% |
| Adp of the SNF | May 6, 2024 | ||
| Champion Care LLC | 5% Or Greater Indirect Ownership Interest | May 6, 2024 | 100% |
| Yisroel N Weinberg | 5% Or Greater Indirect Ownership Interest | May 6, 2024 | 46.25% |
| Adp of the SNF | May 6, 2024 | ||
| Crown Bank | 5% Or Greater Mortgage Interest | May 6, 2024 | 100% |
| 5% Or Greater Security Interest | May 6, 2024 | 100% | |
| Riverside Realty NJ LLC | 5% Or Greater Mortgage Interest | May 6, 2024 | 100% |
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
- Trenton, NJ
- NPI 1114193984
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Blackwood, NJ
- NPI 1265877385
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1447931258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 JERSEY ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086113113",
"telephone_number": "609-394-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 JERSEY ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086113113",
"telephone_number": "609-394-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE HEALTH AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A",
"authorized_official_last_name": "RUVEL",
"authorized_official_first_name": "MENACHEM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "516-605-9800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.