Organization Active NPI

Royal Oaks Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Urbandale, IA
National Provider Identifier
1508690439
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL OAKS NURSING AND REHABILITATION CENTER LLC
Practice address
4614 84TH St
Urbandale, IA 50322-1089
Phone
(515) 270-6838
NPI assigned
Sep 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Joseph Glatzer
Title
Authorized Representative
Phone
(848) 757-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4614 84TH St
Urbandale, IA 50322-1089

Mailing address

4614 84TH St
Urbandale, IA 50322-1089

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213003775 IA Part A Provider - Skilled Nursing Facility 6608306055 Practice locations: Urbandale, IA

Skilled nursing facility certification: CCN 165580

Legal name
ROYAL OAKS NURSING AND REHABILITATION CENTER LLC
Doing business as
ROYAL OAKS NURSING AND RAHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 9, 2007
Last certification
Jul 1, 2024
Beds
115
Ownership / control type
Corporation
Multi-facility organization
Care Sage
Organization structure
LLCProprietary
Enrollment address
4614 84TH St
Urbandale, IA 50322-1089
Nursing home name
ROYAL OAKS NURSING AND REHABILITATION CENTER
Affiliated entity
CEDAR VIEW HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Oaks Nursing and Rehabilitation CenterCCN 165580 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 9, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11587.2 residents per day on average
Chain
Cedar View Holdings9 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
6Fines totaling $434,825

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Gabriel J Sebbag Individual 5% Or Greater Indirect Ownership InterestPresident Jan 1, 2025 52%
Trustee of the SNF Jan 1, 2025
Marc Schiowitz Individual 5% Or Greater Indirect Ownership InterestSole Member Jan 1, 2025 100%
Samara Fam TR Organization, Lawrence, NY For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Adp of the SNF Jan 1, 2025
JSJ 2020 Fam TR Organization, Greenville, DE For-profit Adp of the SNF Jan 1, 2025
Iowa 5784 LLC Organization, Passaic, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2025 52%
Adp of the SNF Mar 25, 2025
Michael P Oconner Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Amaranthine Holdings LLC Organization, Valley Stream, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
JSJ Property LLC Organization, Lawrence, NY LLC, For-profit Adp of the SNF Jan 1, 2025
4614 NW 84TH Street Propco LLC Organization, Hewlett, NY LLC, For-profit Adp of the SNF Jan 1, 2025
Cedar View TR Organization, Greenville, DE 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Adp of the SNF Mar 25, 2025
Caresage Administrative Consulting, LLC Organization, Valley Stream, NY LLC, Consulting firm, For-profit Adp of the SNF Jan 1, 2025
The Bryn Mawr Trust Company of Delaware Organization, Wilmington, DE For-profit Adp of the SNF Jan 1, 2025
Summation Financial Services LLC Organization, Valley Stream, NY LLC, For-profit Adp of the SNF Jan 1, 2025
Tina Greatorex Individual 5% Or Greater Indirect Ownership InterestSole Member Jan 1, 2025 100%
Jennifer Reiter Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Clinical Consulting Services LLC Organization, Eddystone, PA LLC, Consulting firm, For-profit Adp of the SNF Jan 1, 2025
Samara Family Holdings LLC Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Cedar View Holdings LLC Organization, Greenville, DE LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24%
Adp of the SNF Mar 25, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1508690439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 84TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 84TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221089",
            "telephone_number": "515-270-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAKS NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "GLATZER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "848-757-0550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.