Active NPI
CRNC Operating LLC.
Doing business as Cambridge Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CRNC OPERATING LLC.
- Doing business as
- Cambridge Rehabilitation and Nursing Center
- Practice address
- 8 Dana St
Cambridge, MA 02138-5402 - Phone
- (617) 864-4267
- Fax
- (914) 597-7622
- NPI assigned
- May 27, 2010
- Last updated
- Nov 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ephraim Zagelbaum
- Title
- Owner
- Phone
- (914) 597-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MA | Primary |
Addresses
Primary practice location
8 Dana St
Cambridge, MA 02138-5402
Mailing address
20 Wood CT
Tarrytown, NY 10591-3108
Phone (914) 631-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0911542 | Medicaid | MA |
Other names 1
- CAMBRIDGE REHABILITATION AND NURSING CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101104000799 | MA | Part A Provider - Skilled Nursing Facility | 9234323114 | Practice locations: Cambridge, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528387768. Details of each certification follow.
Skilled nursing facility certification: CCN 225520
- Legal name
- CRNC OPERATING LLC.
- Doing business as
- CAMBRIDGE REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 27, 1990
- Last certification
- Jul 2, 2024
- Beds
- 83
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 8 Dana St
Cambridge, MA 02138-5402 - Nursing home name
- CAMBRIDGE REHABILITATION & NURSING CENTER
- Affiliated entity
- PERSONAL HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cambridge Rehabilitation & Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 27, 1990
- Medicare certification status
- Active
- Certified beds
- 83
- Chain
- Personal Healthcare Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0884204 | Cambridge Rehabilitation & Nursing Center | Certificate of waiver | Mar 25, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Cambridge Rehabilitation and Nursing Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Walpole, MA
- NPI 1336533785
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Emmanuel Ikomi | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Mar 24, 2025 | ||
| Nelson K Aweh | Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Mar 24, 2025 | ||
| Nedlaw II Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2020 | 20% |
| Yaz II Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2020 | 10% |
| Yehudah Jay Walden | Corporate Officer | Sep 13, 2010 | |
| Operational/Managerial Control | Dec 1, 2017 | ||
| Cambridge Center Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 15% |
| Adp of the SNF | Sep 13, 2010 | ||
| Alexander Barth | Corporate Officer | Sep 13, 2010 | |
| Adp of the SNF | Sep 13, 2010 | ||
| Adp of the SNF | Sep 13, 2010 | ||
| Adp of the SNF | Mar 15, 2025 | ||
| Ebz II Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2020 | 45% |
| Arb II Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2020 | 10% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1891923199
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Medford Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Medford, MA
- NPI 1265707749
Arb II Holdings LLC, Ebz II Holdings LLC, Nedlaw II Holdings LLC
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Somerville, MA
- NPI 1518266741
-
- Geriatric Medicine (Internal Medicine) Physician
- Cambridge, MA
- NPI 1114285905
Skilled Nursing Facility
-
- Geriatric Medicine (Internal Medicine) Physician
- Lebanon, NH
- NPI 1053375840
-
- Internal Medicine Physician
- Washington, DC
- NPI 1972823797
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cambridge, MA
- NPI 1114285905
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289174400000",
"number": "1528387768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WOOD CT",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105913108",
"telephone_number": "914-631-2600",
"fax_number": "914-597-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 DANA ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385402",
"telephone_number": "617-864-4267",
"fax_number": "914-597-7622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRNC OPERATING LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2010-11-08",
"status": "A",
"authorized_official_last_name": "ZAGELBAUM",
"authorized_official_first_name": "EPHRAIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-597-7600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0911542",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAMBRIDGE REHABILITATION AND NURSING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.