NPIMap

Organization Active NPI

Cynthia Street Operating LLC

  • Skilled Nursing Facility
  • Judsonia, AR
National Provider Identifier
1528804192
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CYNTHIA STREET OPERATING LLC
Practice address
101 Cynthia St
Judsonia, AR 72081-9766
Phone
(732) 366-5705
NPI assigned
Jul 3, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Yisroel Ganz
Title
Director
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

101 Cynthia St
Judsonia, AR 72081-9766

Mailing address

1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-6915
Phone (732) 366-5705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306001834 AR Part A Provider - Skilled Nursing Facility 5698296689 Practice locations: Judsonia, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528804192. Details of each certification follow.

Skilled nursing facility certification: CCN 045418

Legal name
CYNTHIA STREET OPERATING LLC
Doing business as
THE BLOSSOMS AT OAKDALE REHAB & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 21, 2006
Last certification
Jan 16, 2025
Beds
154
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Oasis Healthcare
Most recent change of ownership
Aug 1, 2024
Organization structure
LLCProprietary
Enrollment address
101 Cynthia St
Judsonia, AR 72081-9766
Nursing home name
THE BLOSSOMS AT OAKDALE REHAB & NURSING CENTER
Affiliated entity
THE BLOSSOMS REHAB & NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Blossoms at Oakdale Rehab & Nursing CenterCCN 045418 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 21, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
154101.9 residents per day on average
Chain
The Blossoms Rehab & Nursing Center23 facilities in the chain

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
04D0642186Blossoms at Oakdale Rehab and Nursing Ctr, the101 Cynthia Street, Judsonia, AR 72081Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Matisyohu Herzka Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 32%
Aks Ar Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2024 32%
Abraham Schreiber Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 32%
MH Ar Opco LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 32%
ZCS Ar Opco LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 32%
Charles Carter Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Shlomo Z Scheinbaum Individual 5% Or Greater Indirect Ownership InterestCeo Aug 1, 2024 32%
Johnny R Paine Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Southwind Opco Holding LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%

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 22

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

View all 22

Practitioners & affiliated clinicians

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": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1528804192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016915",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CYNTHIA ST",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720819766",
            "telephone_number": "732-366-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA STREET OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Judsonia, AR

Sources for this page

Verify at the official NPI Registry.