NPIMap

Organization Active NPI

SP Healthcare Management LLC

Doing business as South Pointe Rehabilitation and Care Center

  • Skilled Nursing Facility
  • Oklahoma City, OK
National Provider Identifier
1508406505
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SP HEALTHCARE MANAGEMENT LLC
Doing business as
South Pointe Rehabilitation and Care Center
Practice address
5725 S Ross Ave
Oklahoma City, OK 73119-5650
Phone
(405) 685-4791
NPI assigned
Jan 8, 2020
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Judah Bienstock
Title
Ceo
Phone
(314) 631-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5725 S Ross Ave
Oklahoma City, OK 73119-5650

Mailing address

477 N Lindbergh Blvd Ste 310
Saint Louis, MO 63141-7856
Phone (314) 631-3000

Other names 1

  • South Pointe Rehabilitation and Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200219001327 OK Part A Provider - Skilled Nursing Facility 0143657890 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508406505. Details of each certification follow.

Skilled nursing facility certification: CCN 375365

Legal name
SP HEALTHCARE MANAGEMENT LLC
Doing business as
SOUTH POINTE REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1999
Last certification
Apr 28, 2025
Beds
375
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 1, 2020
Organization structure
LLCProprietary
Incorporated
Nov 14, 2019 in OK
Enrollment address
5725 South Ross Ave
Oklahoma City, OK 73119-5650
Nursing home name
SOUTH POINTE REHABILITATION AND CARE CENTER
Affiliated entity
MGM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Pointe Rehabilitation and Care CenterCCN 375365 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
375195.7 residents per day on average
Chain
MGM Healthcare27 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
5Fines totaling $202,060

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
37D0679965South Pointe Care and Rehabilitation Center5725 South Ross, Oklahoma City, OK 73119Certificate of waiverAug 31, 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
South Park Health Care LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Jan 1, 2020 50%
Baruch Jeremias Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 42.43%
Jessica Bieger Individual W-2 Managing EmployeeAdministrator Jan 20, 2021 100%
South Pointe Realty LLC Organization, Saint Louis, MO LLC 5% Or Greater Direct Ownership Interest Jan 1, 2020 50%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Jan 1, 2020 42.43%
Macb Resources, LLC Organization, Cedarhurst, NY LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2020 7.58%
Judah Bienstock Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 50%
Corporate OfficerManaging Member/Ceo Jan 1, 2020 100%

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1508406505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N LINDBERGH BLVD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417856",
            "telephone_number": "314-631-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 S ROSS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731195650",
            "telephone_number": "405-685-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP HEALTHCARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Pointe Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.