NPIMap

Organization Active NPI

Glen Brook Rehabilitation and Healthcare Center LLC

Doing business as Glen Brook Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Berwick, PA
National Provider Identifier
1609548858
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
Glen Brook Rehabilitation and Healthcare Center
Practice address
801 E 16TH St
Berwick, PA 18603-2314
Phone
(570) 802-9060
Fax
(570) 802-9023
NPI assigned
Oct 5, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Moshe A Stern
Title
Authorized Member
Phone
(848) 249-7952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

801 E 16TH St
Berwick, PA 18603-2314

Mailing address

801 E 16TH St
Berwick, PA 18603-2314
Phone (570) 802-9060

Other names 1

  • Glen Brook Rehabilitation and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130003199 PA Part A Provider - Skilled Nursing Facility 4587054804 1 other NPI on this enrollment
Practice locations: Berwick, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609548858. Details of each certification follow.

Skilled nursing facility certification: CCN 395421

Legal name
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 25, 1978
Last certification
Mar 21, 2025
Beds
240
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Oct 4, 2021 in PA
Enrollment address
801 E 16TH St
Berwick, PA 18603-2314
Nursing home name
GLEN BROOK REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glen Brook Rehabilitation and Healthcare CenterCCN 395421 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 25, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240197.8 residents per day on average
Chain
Prestige Healthcare Administrative Services15 facilities in the chain
Penalties (3 years)
2Fines totaling $260,715

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Glen Brook Rehabilitation and Healthcare Center2 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.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Moshe a Stern Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2021 98%
Corporate Officer Nov 1, 2021
GBRH Holdco LLC Organization, Howell, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Susan P Matelevich Individual Operational/Managerial Control Nov 1, 2021

Practitioners & affiliated clinicians

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": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1609548858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 16TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032314",
            "telephone_number": "570-802-9060",
            "fax_number": "570-802-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 16TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032314",
            "telephone_number": "570-802-9060",
            "fax_number": "570-802-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN BROOK REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "848-249-7952"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Brook Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glen Brook Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.