Active NPI
Daughters of Miriam Center for Nursing & Rehabilitation LLC
- Skilled Nursing Facility
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DAUGHTERS OF MIRIAM CENTER FOR NURSING & REHABILITATION LLC
- Practice address
- 1 David Myers Pkwy
Beachwood, OH 44122-1162 - Phone
- (732) 335-6951
- NPI assigned
- Sep 20, 2023
- 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
- Zvi Rosenberg
- Title
- Director
- Phone
- (732) 335-6951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1 David Myers Pkwy
Beachwood, OH 44122-1162
Mailing address
211 Boulevard of Americas
Lakewood, NJ 08701-4775
Phone (732) 335-6951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418002924 | OH | Part A Provider - Skilled Nursing Facility | 2264871508 | Practice locations: Beachwood, OH |
Skilled nursing facility certification: CCN 365046
- Legal name
- DAUGHTERS OF MIRIAM CENTER FOR NURSING & REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Nov 8, 2024
- Beds
- 233
- Ownership / control type
- Corporation
- Multi-facility organization
- King David Campus
- Most recent change of ownership
- Dec 19, 2023
- Organization structure
- LLC
- Incorporated
- Dec 19, 2023 in OH
- Enrollment address
- 1 David Myers Pkwy
Beachwood, OH 44122-1162 - Nursing home name
- DAUGHTERS OF MIRIAM CENTER FOR NURSING & REHABILIT
- Affiliated entity
- THE ROSENBERG FAMILY
National Provider Directory
National Provider Directory- Tax ID family
- Daughters of Miriam Center for Nursing Rehabilitation LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Beachwood, OH
- NPI 1306603071
-
- Assisted Living Facility
- Beachwood, OH
- NPI 1457187957
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Avraham Rosenberg | 5% Or Greater Direct Ownership Interest | Dec 19, 2023 | 50% |
| 5% Or Greater Mortgage Interest | Dec 19, 2023 | 25% | |
| 5% Or Greater Security Interest | Dec 19, 2023 | 25% | |
| Adp of the SNF | Dec 19, 2023 | ||
| Elizabeth Lesher | Operational/Managerial Control | Dec 19, 2023 | |
| Adp of the SNF | Dec 19, 2023 | ||
| Zvi Rosenberg | 5% Or Greater Direct Ownership Interest | Dec 19, 2023 | 50% |
| 5% Or Greater Mortgage Interest | Dec 19, 2023 | 25% | |
| 5% Or Greater Security Interest | Dec 19, 2023 | 25% | |
| Adp of the SNF | Dec 19, 2023 | ||
| Ranjit Bhupendra Tamaskar | Operational/Managerial Control | Dec 19, 2023 | |
| Adp of the SNF | Dec 19, 2023 | ||
| 27080 LLC | 5% Or Greater Mortgage Interest | Dec 19, 2023 | 100% |
| 5% Or Greater Security Interest | Dec 19, 2023 | 100% | |
| Adp of the SNF | Dec 19, 2023 |
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
- Willoughby, OH
- NPI 1912956418
Adp of the SNF, Operational/Managerial Control
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Mayfield Heights, OH
- NPI 1285618579
-
- Internal Medicine Physician
- Bedford, OH
- NPI 1417967118
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1396730263
-
- Internal Medicine Physician
- Mayfield Village, OH
- NPI 1629381363
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1609038348
-
- Internal Medicine Physician
- Avon, OH
- NPI 1659363752
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1225011836
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Daughters of Miriam Center for Nursing & Rehabilit
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 233
- Chain
- The Rosenberg Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1548048598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BOULEVARD OF AMERICAS",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014775",
"telephone_number": "732-335-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DAVID MYERS PKWY",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221162",
"telephone_number": "732-335-6951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAUGHTERS OF MIRIAM CENTER FOR NURSING & REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "ZVI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-335-6951"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
- Jenna Lee Daugherty, RD
- Marcell Daugherty
- Marianne Lindau Daugherty, LISW
- Daughters of Miriam Center for Nursing & Rehabilitation LLC
- Daughters of Miriam Center for Nursing & Rehabilitation LLC
- David Brinkman-Sull, Inc.
- David Grischkan MD Inc
- David L. Granoff, Psy.D., Inc.
- Candice Davis, APRN,FNP-BC
- Carrie Beth Davis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.