Organization Active NPI

Garden Healthcare of Rocky River LLC

  • Skilled Nursing Facility
  • Valley Stream, NY
National Provider Identifier
1609321777
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1676N Issued in OH
Legal business name
GARDEN HEALTHCARE OF ROCKY RIVER LLC
Practice address
99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163
Phone
(516) 505-0000
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
David Gamzeh
Title
Managing Member
Phone
(516) 246-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1676N OH Primary

Addresses

Primary practice location

99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163

Mailing address

4102 Rocky River Dr
Cleveland, OH 44135-1139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170316000611 OH Part A Provider - Skilled Nursing Facility 2668757501 Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609321777. Details of each certification follow.

Skilled nursing facility certification: CCN 365392

Legal name
GARDEN HEALTHCARE OF ROCKY RIVER LLC
Doing business as
ROCKY RIVER GARDENS REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1979
Last certification
Apr 12, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 30, 2016
Organization structure
LLCProprietary
Incorporated
Jul 20, 2015 in OH
Enrollment address
4102 Rocky River Drive
Cleveland, OH 44135-1139
Nursing home name
ROCKY RIVER GARDENS REHAB AND NURSING CTR
Affiliated entity
GARDEN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rocky River Gardens Rehab and Nursing CtrCCN 365392 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12094.1 residents per day on average
Chain
Garden Healthcare Group6 facilities in the chain
Penalties (3 years)
4Fines totaling $68,068

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
36D0680888Rocky River Gardens Rehabilitation4102 Rocky River Drive, Cleveland, OH 44135Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 43

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

NameRoleSinceShare
Eatery Manager LLC Organization, Hixson, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 10.64%
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 10.64%
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Individual Indirect Ownership Interest Sep 1, 2017 0.33%
Organization, Montvale, NJ LLC Adp of the SNF Dec 30, 2016
Organization, Uniondale, NY Indirect Ownership Interest Sep 1, 2017 3.28%
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Organization, Monsey, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 1.64%
Individual Indirect Ownership Interest Sep 1, 2017 0.33%
Chickiestrong Rocky River LLC Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 86.08%
Operational/Managerial Control Sep 1, 2017
Direct Ownership Interest Sep 1, 2017 86.08%
Organization, Brooklyn, NY LLC Adp of the SNF Dec 30, 2016
Organization, Far Rockaway, NY Indirect Ownership Interest Sep 1, 2017 0.49%
Garden Ohio Operating Holdings LLC Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 30, 2016 80%
Indirect Ownership Interest Sep 1, 2017 86.08%
Organization, Wilmington, DE Indirect Ownership Interest Sep 1, 2017 2.46%
Chickiestrong Real Estate LLC Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 21.64%
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 21.64%
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Eatery Capital LLC Organization, Hixson, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 10.64%
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 10.64%
Organization, Brooklyn, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 3.28%
Individual Indirect Ownership Interest Sep 1, 2017 0.16%
Eli M Leshkowitz Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 8.96%
Corporate OfficerSenior Vice President Dec 30, 2016
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 8.96%
Individual Indirect Ownership Interest Sep 1, 2017 0.07%
Individual Indirect Ownership Interest Sep 1, 2017 0.16%
Samuel Feuer Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 8.71%
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 8.71%
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 0.16%
Garden Ohio Operating Managing Member LLC Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2017 64.44%
Indirect Ownership Interest Sep 1, 2017 64.44%
Eatery Trust Organization, Hixson, TN 5% Or Greater Indirect Ownership Interest Sep 1, 2017 10.64%
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 10.64%
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 1.3%
Garden Care El-DG Holdings, LLC Organization, Hewlett, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 13.92%
Adp of the SNF Sep 1, 2017
Direct Ownership Interest Sep 1, 2017 13.92%
Jayantilal Bhimani Individual Operational/Managerial Control Dec 30, 2016
Managing Control - Governing Body Dec 30, 2016
Adp of the SNF Dec 30, 2016
Braunstein Bears 2016 Trust Organization, New York, NY 5% Or Greater Indirect Ownership Interest Sep 1, 2017 42.76%
Adp of the SNF Sep 1, 2017
Indirect Ownership Interest Sep 1, 2017 42.76%
Individual Indirect Ownership Interest Sep 1, 2017 1.15%
Individual Indirect Ownership Interest Sep 1, 2017 1.64%
Individual Indirect Ownership Interest Sep 1, 2017 0.82%
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 1.3%
Larry Katz Individual 5% Or Greater Indirect Ownership InterestVice President Sep 1, 2017 8.42%
Adp of the SNF Sep 1, 2017
Brian Holzheimer Individual Operational/Managerial Control Oct 13, 2025
Managing Control - Governing Body Oct 13, 2025
Adp of the SNF Oct 13, 2025
Individual Indirect Ownership Interest Sep 1, 2017 1.64%
Individual Indirect Ownership Interest Sep 1, 2017 0.66%
Organization, Brooklyn, NY Indirect Ownership Interest Sep 1, 2017 0.49%
Organization, Uniondale, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 3.28%
Individual Indirect Ownership Interest Sep 1, 2017 0.8%
Organization, New York, NY LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2017 1.15%
Individual Indirect Ownership Interest Sep 1, 2017 0.49%
Organization, Cleveland, OH LLC Adp of the SNF Dec 30, 2016

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 11

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

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 3

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1609321777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W HAWTHORNE AVE",
            "address_2": "SUITE 508",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806163",
            "telephone_number": "516-505-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN HEALTHCARE OF ROCKY RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "GAMZEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-246-6961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1676N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.