Kingston NH Operation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KINGSTON NH OPERATION LLC

Doing business as

Ten Broeck Center for Rehabilitation & Nursing

Practice address

1 Commons Dr
Lake Katrine, NY 12449-5149

Phone

(845) 336-6666

Fax

(845) 336-4014

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Solomon Klein

Title

Member

Phone

(307) 909-1811

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ten Broeck Center for Rehabilitation & Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335765

Legal name

KINGSTON NH OPERATION LLC

Doing business as

TEN BROECK CENTER FOR REHABILITATION & NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 26, 1993

Last certification

Sep 20, 2023

Beds

258

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Oct 16, 2017 in NY

Enrollment address

1 Commons Dr
Lake Katrine, NY 12449-5149

Nursing home name

TEN BROECK COMMONS

Listed as

Ten Broeck CommonsCCN 335765 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Mar 26, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

258246.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 8

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chester L Robbins, MD

  • Family Medicine Physician
  • Kingston, NY
  • NPI 1578554507
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Chester L Robbins, MD

  • Family Medicine Physician
  • Kingston, NY
  • NPI 1578554507

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1598249179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495149",
            "telephone_number": "845-336-6666",
            "fax_number": "845-336-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495149",
            "telephone_number": "845-336-6666",
            "fax_number": "845-336-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON NH OPERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "307-909-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01403185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ten Broeck Center for Rehabilitation & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy Jaye Johnan
• Neeta Marie Kapila Ramesh
• Radhika Kapur, D.D.S.
• Karin Connelly PHD Psychology Coaching PLLC
• Taeyoung Kim, DDS
• Kenneth T Kircher, DO
• Jean M Kirtio, PHYSICAL THER. ASST
• Diana Klebanoff, LCSWR
• Roy A Kline, O.D.
• Joon-Yong Koh

• Skilled Nursing Facility in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.

Verify at the official NPI Registry.