NPIMap

Organization Active NPI

Gallatin Manor LLC

  • Skilled Nursing Facility
  • Ridgway, IL
National Provider Identifier
1497268783
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GALLATIN MANOR LLC
Practice address
900 W Race St
Ridgway, IL 62979-1150
Phone
(618) 272-8831
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Chaim Millman
Title
Ceo
Phone
(845) 414-3300

Specialties & licenses 1

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

Addresses

Primary practice location

900 W Race St
Ridgway, IL 62979-1150

Mailing address

26 Firemens Memorial Dr Ste 205
Pomona, NY 10970-3553
Phone (845) 414-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218001695 IL Part A Provider - Skilled Nursing Facility 0941568182 Practice locations: Ridgway, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497268783. Details of each certification follow.

Skilled nursing facility certification: CCN 146054

Legal name
GALLATIN MANOR LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 15, 2003
Last certification
Sep 12, 2024
Beds
71
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 18, 2017 in NY
Enrollment address
900 W Race St
Ridgway, IL 62979-1150
Nursing home name
GALLATIN MANOR
Affiliated entity
STERN CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gallatin ManorCCN 146054 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 15, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7137.3 residents per day on average
Chain
Stern Consultants22 facilities in the chain

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
14D0888347Gallatin Manor L L C900 W Race St, Ridgway, IL 62979Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Organization, Plainfield, IL Consulting firm Adp of the SNF May 12, 2025
Boruch Sheps Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 20%
Operational/Managerial ControlManager Dec 1, 2017 50%
Managing Control - Governing Body Dec 1, 2017
Adp of the SNF Dec 1, 2017
Gallatin Propco LLC Organization, Pomona, NY LLC Adp of the SNF Jun 1, 2021
Avraham Erblich Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 10%
Operational/Managerial Control Dec 1, 2017
Managing Control - Governing Body Dec 1, 2017
Adp of the SNF Dec 1, 2017
Individual Adp of the SNF Dec 1, 2021
Chaim Millman Individual 5% Or Greater Direct Ownership InterestCeo Dec 1, 2017 26%
Operational/Managerial ControlCeo Dec 1, 2017 50%
Managing Control - Governing BodyCeo Dec 1, 2017
Adp of the SNF Dec 1, 2017
Etn Family Holdings LLC Organization, Suffern, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 25%
Adp of the SNF Jun 1, 2021
Direct Ownership Interest Dec 1, 2017 25%
Benjamin Friedman Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 10%
Operational/Managerial Control Dec 1, 2017
Managing Control - Governing BodyCfo Dec 1, 2017
Adp of the SNF Dec 1, 2017
Individual Adp of the SNF Jan 1, 2023
Bezalel Stern Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9%
Adp of the SNF Jun 1, 2021
T Newhouse Family Trust Organization, Suffern, NY 5% Or Greater Indirect Ownership Interest Dec 1, 2017 12.38%
Indirect Ownership Interest Dec 1, 2017 12.38%
Warren Jackson Individual Operational/Managerial Control Feb 17, 2021
Adp of the SNF Feb 17, 2021
Stanley Mathew Individual Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyMedical Director Mar 1, 2025
Adp of the SNF Apr 1, 2025
Individual Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Dec 1, 2017
Eric Newhouse Individual Managing Control - Governing Body Dec 1, 2017
Trustee of the SNF Dec 1, 2017
Indirect Ownership Interest Dec 1, 2017 0.25%
Stern Therapy Consultants LLC Organization, Pomona, NY LLC Adp of the SNF Dec 1, 2017
Organization, Cedarhurst, NY Corporation Adp of the SNF May 12, 2025
E Newhouse Family Trust Organization, Suffern, NY 5% Or Greater Indirect Ownership Interest Dec 1, 2017 12.38%
Indirect Ownership Interest Dec 1, 2017 12.38%
Individual Trustee of the SNF Dec 1, 2017

Owners & managing parties with NPI records 2

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

  • Stanley John Mathew, M.D.
    • Physical Medicine & Rehabilitation Physician
    • Cedar Rapids, IA
    • NPI 1003053653

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership
  • Bezalel Stern
    • Physical Therapist
    • Monsey, NY
    • NPI 1073783544

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

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": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1497268783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR STE 205",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553",
            "telephone_number": "845-414-3300",
            "fax_number": "845-517-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W RACE ST",
            "city": "RIDGWAY",
            "state": "IL",
            "postal_code": "629791150",
            "telephone_number": "618-272-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "MILLMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-414-3300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, IL

Sources for this page

Verify at the official NPI Registry.