Active NPI
Hamilton Operator, LLC
Doing business as Preferred Care at Hamilton
- Skilled Nursing Facility
- Hamilton Square, NJ
National Provider Identifier
1467018978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HAMILTON OPERATOR, LLC
- Doing business as
- Preferred Care at Hamilton
- Practice address
- 1501 State Highway 33
Hamilton Square, NJ 08690-1705 - Phone
- (609) 586-1114
- NPI assigned
- May 10, 2019
- 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
- Sam Stern
- Title
- Cfo
- Phone
- (877) 567-0402
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1501 State Highway 33
Hamilton Square, NJ 08690-1705
Mailing address
14C 53Rd St Ste 220
Brooklyn, NY 11232-2644
Phone (877) 567-0402
Other names 1
- Preferred Care at Hamilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191105000274 | NJ | Part A Provider - Skilled Nursing Facility | 7719219187 | Practice locations: Hamilton Square, NJ |
Skilled nursing facility certification: CCN 315111A
- Legal name
- HAMILTON OPERATOR, LLC
- Doing business as
- PREFERRED CARE AT HAMILTON
- Organization structure
- LLC
- Incorporated
- Apr 11, 2019 in NJ
- Enrollment address
- 1501 State Highway 33
Hamilton Square, NJ 08690-1705 - Nursing home name
- PREFERRED CARE AT HAMILTON
- Affiliated entity
- PREFERRED CARE
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Dov Green | 5% Or Greater Indirect Ownership Interest | Sep 1, 2019 | |
| Boruch D Mermelstein | 5% Or Greater Indirect Ownership Interest | Sep 1, 2019 | |
| Samuel Stern | Corporate Officer | Sep 1, 2019 | 10% |
| David Schnell | 5% Or Greater Indirect Ownership Interest | Sep 1, 2019 | |
| John Pilek | W-2 Managing Employee | Sep 1, 2019 | 90% |
| Hamilton Holdco, LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2019 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557446400000",
"number": "1467018978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST STE 220",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644",
"telephone_number": "877-567-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 STATE HIGHWAY 33",
"city": "HAMILTON SQUARE",
"state": "NJ",
"postal_code": "086901705",
"telephone_number": "609-586-1114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON OPERATOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2019-05-10",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "877-567-0402"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Preferred Care at Hamilton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hamilton Square, NJ
- Hamilton Anesthesia Associates, PC
- Hamilton Counseling Group, LLC
- Hamilton Dental Associates
- Hamilton Hematology Oncology Associates PC
- Hamilton Medical Group, P.C.
- Hamilton Pulmonary and Critical Care Associates P.C.
- Francis E Handlin
- Devin Ashely Harrod, APN
- David Brian Heering, D.M.D.
- Josephine L Hines, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.