NPIMap

Glen Brook Rehabilitation and Healthcare Center LLC

Organization Active NPI Skilled Nursing Facility · Berwick, PA

NPI 1497416457 · NPPES record last updated Jan 3, 2022

Key facts

NPI
1497416457
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER LLC
Practice address
801 E 16TH St
Berwick, PA 18603-2314
Phone
(570) 802-9060
Fax
(570) 802-9023
NPI assigned
Jan 3, 2022
Organization subpart
No

Authorized official

Name
Moshe Stern
Title
Authorized Member
Phone
(848) 249-7951

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

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

Affiliated clinicians 3

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

Medicare Care Compare: Nursing home

Listed as
Glen Brook Rehabilitation and Healthcare Center CCN 395421
Overall star rating
★★☆☆☆ 2 of 5
Health inspections
★★☆☆☆ 2 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★★☆ 4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 25, 1978
Medicare certification status
Active (Provider of Services file)
Certified beds
240 · 197.8 residents per day on average
Chain
Prestige Healthcare Administrative Services (15 facilities)
Penalties (3 years)
2 · fines totaling $260,715

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Skilled nursing facility certification: CCN 395421

Legal name
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 25, 1978
Last certification
Mar 21, 2025
Beds
240
Ownership / control type
Corporation
Organization structure
LLC · Proprietary
Incorporated
Oct 4, 2021 in PA
Enrollment address
801 E 16TH St
Berwick, PA 18603-2314
Nursing home name
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Moshe a Stern
Individual 		5% Or Greater Indirect Ownership Interest Nov 1, 2021 98%
Corporate Officer Nov 1, 2021
GBRH Holdco LLC
Organization · Howell, NJ
Created for acquisition, LLC 		5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Susan P Matelevich
Individual 		Operational/Managerial Control Nov 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20211130003199 PA Part a Provider - Skilled Nursing Facility 4587054804 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berwick, PA

National Provider Directory

Tax ID family
Glen Brook Rehabilitation and Healthcare Center (2 organizations share this tax ID)

Locations

801 E 16th St
Berwick, PA 18603
Phone (570) 759-5400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

801 E 16TH St
Berwick, PA 18603-2314

Mailing address

801 E 16TH St
Berwick, PA 18603-2314
Phone (570) 802-9060

Other names

  • Glen Brook Rehabilitation and Healthcare Center Doing business as

Other providers in Berwick, PA

All providers in Berwick, PA · Skilled Nursing Facility in Pennsylvania

Sources for this page

Verify at the official NPI Registry.