Active NPI
Sprain Brook Manor Rehab LLC
- Skilled Nursing Facility
- Scarsdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308338 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Nov 1, 1973
- Medicare certification status
- Active
- Certified beds
- 121
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 |
|---|---|---|---|
| 33D2192038 | Sprain Brook Manor Rehab LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Allen Stein | 5% Or Greater Direct Ownership Interest | 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% | |
| Adp of the SNF | Dec 1, 1967 | ||
| Adp of the SNF | Dec 1, 1967 | ||
| Lazer Strulovitch | 5% Or Greater Direct Ownership Interest | Jun 15, 2012 | 58.62% |
| Trustee of the SNF | Jun 15, 2012 | ||
| Direct Ownership Interest | Jun 15, 2012 | 58.62% | |
| Israel Nachfolger | Corporate Director | Sep 1, 2015 | 100% |
| Benjamin Kahan | Operational/Managerial Control | Apr 24, 2023 | |
| Adp of the SNF | Mar 21, 2025 | ||
| Ashok C Chopra | Operational/Managerial Control | Jun 1, 2016 | |
| Adp of the SNF | Mar 21, 2025 | ||
| Leopold Schwimmer | 5% Or Greater Direct Ownership Interest | 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1174887830
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1174887830
-
- Family Medicine Physician
- Yonkers, NY
- NPI 1841432531
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
- Nina N Spooner, M.D.
- Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
- Sportsmedicine Rehabilitation (Sports Med Rehab)
- Sprain Brook Hearing Aid Center Inc
- Sprain Brook Manor Nursing Home
- Tara Sreedharan
- Eleonore Srinivasan, L. AC.
- Kate Evelyn St Phillip
- Madison Stangel, OTR/L
- Lisa Joanna Steccato, CPNP-PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.