NPIMap

Organization Active NPI

Woodcrest Rehabilitation and Residential Health Care Center LLC

  • Skilled Nursing Facility
  • Flushing, NY
National Provider Identifier
1508069360
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WOODCREST REHABILITATION AND RESIDENTIAL HEALTH CARE CENTER LLC
Practice address
119-09 26TH Ave
Flushing, NY 11354
Phone
(718) 762-6100
Fax
(718) 762-8552
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Mr. Moshe Lieberman
Title
Comptroller
Phone
(718) 762-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

119-09 26TH Ave
Flushing, NY 11354

Mailing address

119-09 26TH Ave
Flushing, NY 11354-1022
Phone (718) 762-6100

Other identifiers 1

IdentifierTypeStateIssuer
00310090MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080626000250 NY Part A Provider - Skilled Nursing Facility 1951211309 Practice locations: Flushing, NY

Skilled nursing facility certification: CCN 335266

Legal name
WOODCREST REHABILITATION AND RESIDENTIAL HEALTH CARE CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 15, 1970
Last certification
Feb 9, 2023
Beds
200
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
11909 26TH Ave
Flushing, NY 11354-1022
Nursing home name
WOODCREST REHAB & RESIDENTIAL H C CENTER, L L C

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodcrest Rehab & Residential H C Center, L L CCCN 335266
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 15, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200196.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Peyman Younesi Individual Operational/Managerial Control Jun 30, 2022
Adp of the SNF Feb 4, 2025
Jack Deutsch Individual 5% Or Greater Direct Ownership InterestManaging Partner Jul 25, 2008 20%
Operational/Managerial ControlManaging Partner Jul 25, 2008 20%
Esther Estate of Friedman Organization, Flushing, NY 5% Or Greater Direct Ownership Interest Oct 25, 2023 20%
Jay Taub Individual Operational/Managerial Control Jan 9, 1995
Adp of the SNF Jan 9, 1995
Gloria Lieberman Individual 5% Or Greater Direct Ownership Interest Jul 25, 2008 20%
Esther Solomon Individual 5% Or Greater Direct Ownership Interest Jul 25, 2008 20%
Saul Goldbaum Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 20%

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 5

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1508069360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119-09 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541022",
            "telephone_number": "718-762-6100",
            "fax_number": "718-762-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119-09 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-762-6100",
            "fax_number": "718-762-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCREST REHABILITATION AND RESIDENTIAL HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-762-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.