NPIMap

Organization Active NPI

Pinehurst Opco, LLC

Doing business as The Greens At Pinehurst Rehabilitation & Living Center

  • Skilled Nursing Facility
  • Pinehurst, NC
National Provider Identifier
1528544145
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0230 Issued in NC
Legal business name
PINEHURST OPCO, LLC
Doing business as
The Greens At Pinehurst Rehabilitation & Living Center
Practice address
205 Rattlesnake TRL
Pinehurst, NC 28374-7639
Phone
(910) 295-1781
NPI assigned
Jul 17, 2018
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Mr. Jacob S. Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0230 NC Primary

Addresses

Primary practice location

205 Rattlesnake TRL
Pinehurst, NC 28374-7639

Mailing address

15 America Ave Unit 304
Lakewood, NJ 08701-4582
Phone (732) 659-1353

Other names 1

  • The Greens At Pinehurst Rehabilitation & Living Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924000529 NC Part A Provider - Skilled Nursing Facility 7315298841 Practice locations: Pinehurst, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528544145. Details of each certification follow.

Skilled nursing facility certification: CCN 345177

Legal name
PINEHURST OPCO, LLC
Doing business as
THE GREENS AT PINEHURST REHABILITATION & LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1977
Last certification
Dec 5, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CCH Healthcare
Organization structure
LLCProprietary
Incorporated
May 1, 2018 in DE
Enrollment address
205 Rattlesnake TRL
Pinehurst, NC 28374-7639
Nursing home name
THE GREENS AT PINEHURST REHABILITATION & LIVING CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Greens at Pinehurst Rehabilitation & Living CeCCN 345177 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12095.0 residents per day on average
Chain
CCH Healthcare33 facilities in the chain
Penalties (3 years)
1Fines totaling $41,844

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
34D0681429Greens at Pinehurst, the205 Rattlesnake Trail, Pinehurst, NC 28374Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Baruch Jeremias Individual 5% Or Greater Direct Ownership InterestCo-Manager of Pinehurst Opco, LLC Jul 26, 2018 50%
5% Or Greater Indirect Ownership InterestSole MBR, Pinehurst NC Investments Jul 26, 2018 50%
Operational/Managerial ControlCo-Manager of Pinehurst Opco, LLC Jul 26, 2018 50%
OtherAuthorized Individual Jul 26, 2018 50%
Starlight Healthcare LLC Organization, Lakewood, NJ For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2018 50%
Pinehurst Opco, LLC Organization, Lakewood, NJ Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 26, 2018 100%
Operational/Managerial Control Jul 26, 2018 100%
Jacob Stern Individual 5% Or Greater Direct Ownership InterestCo-Manager of Pinehurst Opco, LLC Jul 26, 2018 50%
5% Or Greater Indirect Ownership InterestManager of Starlight Healthcare LLC Jul 26, 2018 50%
Operational/Managerial ControlCo-Manager of Pinehurst Opco, LLC Jul 26, 2018 50%
OtherAuthorized Individual Jul 26, 2018 50%
Kelly E. Gorham Individual W-2 Managing EmployeeAdministrator of Facility Jul 26, 2018 100%
Operational/Managerial ControlAdministrator of Facility Jul 26, 2018 100%
Pinehurst NC Investments, LLC Organization, Lakewood, NJ For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2018 50%

Facilities with the same owner 26

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

View all 26

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1528544145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014582",
            "telephone_number": "732-659-1353",
            "fax_number": "866-306-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RATTLESNAKE TRL",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747639",
            "telephone_number": "910-295-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Greens At Pinehurst Rehabilitation & Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.