Organization Active NPI

Rivers Edge SNF Operations LLC

  • Skilled Nursing Facility
  • Prospect, KY
National Provider Identifier
1487546487
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVERS EDGE SNF OPERATIONS LLC
Practice address
6301 Bass Rd
Prospect, KY 40059-9384
Phone
(502) 228-8359
NPI assigned
Jul 16, 2025
Organization subpart
Yes
Parent organization
RIVERS EDGE SNF OPERATIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Menucha Goodman
Title
Authorized Official
Phone
(848) 201-8402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6301 Bass Rd
Prospect, KY 40059-9384

Mailing address

6301 Bass Rd
Prospect, KY 40059-9384

Other names 1

  • Rivers Edge Rehabilitation and Healthcare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260206002789 KY Part A Provider - Skilled Nursing Facility 9234618521

Skilled nursing facility certification: CCN 185259

Legal name
RIVERS EDGE SNF OPERATIONS LLC
Doing business as
RIVERS EDGE REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1991
Last certification
Nov 15, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Venza Cars
Organization structure
LLCProprietary
Enrollment address
6301 Bass Rd
Prospect, KY 40059-9384
Nursing home name
RIVERS EDGE REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
VENZA CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rivers Edge Rehabilitation and Healthcare CenterCCN 185259
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10093.4 residents per day on average
Chain
Venza Care Management25 facilities in the chain
Penalties (3 years)
1Fines totaling $5,519

Processed by Care Compare on Aug 1, 2026.

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
18D0320483Rivers Edge SNF Operations6301 Bass Road, Prospect, KY 40059Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Rivers Edge SNF Operations LLC

Ownership & related parties

All disclosed owners & managing parties 48

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

NameRoleSinceShare
Ky Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Oakwood Investment Management LLC Organization, Lakewood, NJ LLC, Holding company Indirect Ownership Interest Sep 4, 2025 2.5%
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2.5%
Gary C Page Individual Adp of the SNF Sep 4, 2025
Ky SNF Holdings LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
Ms Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Ms Commonwealth Holdings LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.25%
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2%
Joel Strulovics Individual Indirect Ownership Interest Sep 4, 2025 1%
Commonwealth SNF Realty Holdings Parent LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Venza Care Clinical Consulting Ky LLC Organization, Lakewood, NJ LLC, Consulting firm Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
S Melb Propco LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Venza Care Administrative Services Ky LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Sep 4, 2025 1%
CH Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Computershare Corporate Trust Company, NA Organization, Canton, MA Corporation, Financial institution 5% Or Greater Mortgage Interest Sep 4, 2025 80%
M Melb Propco LLC Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Dimitra Edwards Individual Adp of the SNF Sep 4, 2025
SS Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.5%
SS Commonwealth Holdings LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.5%
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2%
Sky Opco Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.5%
Rivers Edge SNF Realty LLC Organization, Lakewood, NJ LLC Adp of the SNF Sep 4, 2025
Ky SNF Associates Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 4, 2025 21.75%
Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Sep 4, 2025 2%
Ky Realty Holdings Trust Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Suzanna I Gwin Individual Adp of the SNF Sep 3, 2025
CH Commonwealth Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
S Melb Propco Trust Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Ky SNF Holdings Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
Mky Opco LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.25%
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2.5%
CW Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Commonwealth SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 4, 2025 100%
Marlon R Chagua Individual Operational/Managerial Control Sep 3, 2025
Adp of the SNF Sep 3, 2025
Tamika Gidron Individual Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
Adam Madison Individual Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
Organization, Lakewood, NJ LLC, Holding company Indirect Ownership Interest Sep 4, 2025 2%
Sky Opco LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.5%
Mky Opco Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.25%
Vertex Financial Services Ky LLC Organization, Lakewood, NJ LLC, Management services company, Chain home office Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
CH Commonwealth Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
Cibc Bank USA Organization, Chicago, IL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Sep 4, 2025 10%
Adp of the SNF Sep 4, 2025
Menucha Goodman Individual Corporate Officer Sep 4, 2025
Ky Realty Associates Trust Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Commonwealth SNF Realty Holdings LLC Organization, Lakewood, NJ Corporation, LLC Adp of the SNF Sep 4, 2025
Ky Realty Associates LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
CW Commonwealth Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 21.75%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1487546487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BASS RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BASS RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599384",
            "telephone_number": "502-228-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE SNF OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERS EDGE SNF OPERATIONS LLC",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MENUCHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "848-201-8402"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers Edge Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.