NPIMap

Organization Active NPI

Putnam Operation Acquisition I LLC

  • Skilled Nursing Facility
  • Holmes, NY
National Provider Identifier
1588074322
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PUTNAM OPERATION ACQUISITION I LLC
Practice address
404 Ludingtonville Rd
Holmes, NY 12531-4626
Phone
(845) 222-1018
NPI assigned
May 1, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Lizer Jozefovic
Title
Manager / Member
Phone
(845) 222-1018

Specialties & licenses 1

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

Addresses

Primary practice location

404 Ludingtonville Rd
Holmes, NY 12531-4626

Mailing address

404 Ludingtonville Rd
Holmes, NY 12531-4626
Phone (845) 222-1018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828000823 NY Part A Provider - Skilled Nursing Facility 9739307026 Practice locations: Holmes, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588074322. Details of each certification follow.

Skilled nursing facility certification: CCN 335229

Legal name
PUTNAM OPERATION ACQUISITION I LLC
Doing business as
PUTNAM NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1986
Last certification
Apr 4, 2025
Beds
160
Ownership / control type
Partnership
Multi-facility organization
Epic Health Care Management
Organization structure
LLCProprietary
Incorporated
Jul 19, 2011 in NY
Enrollment address
404 Ludingtonville Rd
Holmes, NY 12531-4626
Nursing home name
PUTNAM NURSING & REHABILITATION CENTER
Affiliated entity
EPIC HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Putnam Nursing & Rehabilitation CenterCCN 335229 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jul 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160119.2 residents per day on average
Chain
Epic Healthcare Management5 facilities in the chain
Penalties (3 years)
2Fines totaling $19,984

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
KNH Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • KNH Partners

    dba Putnam Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Holmes, NY
    • NPI 1972661684
    NPD tax ID

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Deena Kaye Individual W-2 Managing EmployeeAdministrator Jul 22, 2014
Mark Neuman Individual 5% Or Greater Direct Ownership Interest Jul 19, 2011 50%
Corporate OfficerBoard Member and Manager Jul 19, 2011 50%
Danielle Feminella Individual Operational/Managerial ControlChief Financial Officer Jul 19, 2011
Herbert Jozefovic Individual 5% Or Greater Direct Ownership Interest Jul 19, 2011 50%
Corporate OfficerBoard Member and Manager Jul 19, 2011 50%

Practitioners & affiliated clinicians

Practitioners 5

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.

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": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1588074322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LUDINGTONVILLE RD",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125314626",
            "telephone_number": "845-222-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LUDINGTONVILLE RD",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125314626",
            "telephone_number": "845-222-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM OPERATION ACQUISITION I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "JOZEFOVIC",
        "authorized_official_first_name": "LIZER",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "845-222-1018"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmes, NY

Sources for this page

Verify at the official NPI Registry.