Organization Active NPI

Sprain Brook Manor Rehab LLC

  • Skilled Nursing Facility
  • Scarsdale, NY
National Provider Identifier
1487917712
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRAIN BROOK MANOR REHAB LLC
Practice address
77 Jackson Ave
Scarsdale, NY 10583-3140
Phone
(914) 472-3200
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Mr. Israel Nachfolger, RN
Title
Cfo
Phone
(845) 596-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NY Primary

Addresses

Primary practice location

77 Jackson Ave
Scarsdale, NY 10583-3140

Mailing address

77 Jackson Ave
Scarsdale, NY 10583-3140
Phone (914) 472-3200

Other identifiers 1

IdentifierTypeStateIssuer
308338MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000104 NY Part A Provider - Skilled Nursing Facility 0345405106 Practice locations: Scarsdale, NY

Skilled nursing facility certification: CCN 335320

Legal name
SPRAIN BROOK MANOR REHAB, LLC
Doing business as
SPRAIN BROOK MANOR NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1973
Last certification
May 14, 2024
Beds
121
Ownership / control type
Partnership
Organization structure
LLCProprietary
Incorporated
Apr 27, 2012 in NY
Enrollment address
77 Jackson Ave
Scarsdale, NY 10583-3140
Nursing home name
SPRAIN BROOK MANOR REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sprain Brook Manor RehabCCN 335320 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Nov 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121111.4 residents per day on average

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
33D2192038Sprain Brook Manor Rehab LLC77 Jackson Ave, Scarsdale, NY 10583Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Allen Stein Individual 5% Or Greater Direct Ownership InterestManagng Member Jun 15, 2012 27.58%
Operational/Managerial Control Jun 15, 2012
Trustee of the SNF Jun 15, 2012
Direct Ownership Interest Jun 15, 2012 27.58%
Organization, Scarsdale, NY Corporation Adp of the SNF Dec 1, 1967
Organization, Scarsdale, NY Holding company Adp of the SNF Dec 1, 1967
Lazer Strulovitch Individual 5% Or Greater Direct Ownership InterestLLC Member Jun 15, 2012 58.62%
Trustee of the SNF Jun 15, 2012
Direct Ownership Interest Jun 15, 2012 58.62%
Israel Nachfolger Individual Corporate DirectorCfo Sep 1, 2015 100%
Benjamin Kahan Individual Operational/Managerial Control Apr 24, 2023
Adp of the SNF Mar 21, 2025
Ashok C Chopra Individual Operational/Managerial Control Jun 1, 2016
Adp of the SNF Mar 21, 2025
Leopold Schwimmer Individual 5% Or Greater Direct Ownership InterestLLC Member Jun 15, 2012 13.79%
Trustee of the SNF Jun 15, 2012
Direct Ownership Interest Jun 15, 2012 13.79%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1487917712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 JACKSON AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833140",
            "telephone_number": "914-472-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 JACKSON AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833140",
            "telephone_number": "914-472-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRAIN BROOK MANOR REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "NACHFOLGER",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-596-6633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.