3 Industrial Way East Operations LLC
Organization Active NPI Skilled Nursing Facility · Eatontown, NJ
NPI 1457535742 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1457535742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 62214 (NJ)
- Legal business name
- 3 INDUSTRIAL WAY EAST OPERATIONS LLC
- Practice address
- 3 Industrial Way E
Eatontown, NJ 07724-3318 - Phone
- (732) 544-1557
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Owners & managing parties with NPI records 1
-
Pravinchandra G. Chapla, M.D.
Facilities with the same owner 178
Practitioners 2
-
Benjamin David Lessig, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Skilled nursing facility certification: CCN 315364A
- Legal name
- 3 INDUSTRIAL WAY EAST OPERATIONS LLC
- Doing business as
- JERSEY SHORE CENTER
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 16, 2007 in NJ
- Enrollment address
- 3 Industrial Way East
Jersey Shore Center
Eastontown, NJ 07724-3318 - Nursing home name
- JERSEY SHORE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford |
Corporate Officer |
May 1, 2024 | 100% |
| Pravinchandra G Chapla |
Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Mar 14, 2025 | ||
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Dimitry Ruchaevsky |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | Mar 14, 2025 | ||
| Genesis Operations LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Adp of the SNF | Jan 6, 2025 | ||
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.2% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 65.3% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2020 | 5.7% |
| Arnold M Whitman |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 10.8% |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 7.6% |
| Steven E Fishman |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
May 1, 2024 | 100% |
| Michael T Berg |
Corporate Officer |
Dec 1, 2012 | 100% |
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Genesis NJ Holdings LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110513000141 | NJ | Part a Provider - Skilled Nursing Facility | 8628254307 | Practice locations: Eastontown, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 62214 | NJ | Yes |
Addresses
Primary practice location
3 Industrial Way E
Eatontown, NJ 07724-3318
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other names
- Jersey Shore Center
Other providers in Eatontown, NJ
- 3 Industrial Way East Opco, LLC
- 490 Counseling
- A & B Vision, Inc.
- A&B Vision, Inc.
- A2Z Diagnostics LLC
- Michelle R Abano
All providers in Eatontown, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.