Active NPI
Cedar Haven Operations LLC
- Skilled Nursing Facility
- Smithfield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CEDAR HAVEN OPERATIONS LLC
- Practice address
- 180 Log Rd
Smithfield, RI 02917-1518 - Phone
- (401) 231-7016
- NPI assigned
- Mar 25, 2020
- 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
- Yehuda Yarmush
- Title
- Ceo
- Phone
- (646) 236-4634
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
180 Log Rd
Smithfield, RI 02917-1518
Mailing address
115 Dutch Lane Rd
Freehold, NJ 07728-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250708000784 | RI | Part A Provider - Skilled Nursing Facility | 0648784108 | Practice locations: Smithfield, RI |
Skilled nursing facility certification: CCN 415049
- Legal name
- CEDAR HAVEN OPERATIONS LLC
- Doing business as
- LAKE FOREST HEALTH & REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1977
- Last certification
- Oct 10, 2024
- Beds
- 133
- Ownership / control type
- Individual
- Organization structure
- LLC
- Enrollment address
- 180 Log Rd
Smithfield, RI 02917-1518 - Nursing home name
- CEDAR HAVEN OPERATIONS LLC DBA LAKE FORREST HEALTH & REHABILITATION LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cedar Haven Operations LLC DBA Lake Forrest Health
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Nov 1, 1977
- Medicare certification status
- Active
- Certified beds
- 133
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0084597 | Cedar Haven Operations, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Brand Sonnenschine LLP | Adp of the SNF | Jun 1, 2025 | |
| Lake Valley Ri Management LLC | Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Yehuda Yarmush | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 80% |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jun 1, 2025 | ||
| Esri Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 20% |
| Adp of the SNF | Jun 1, 2025 | ||
| Lake Valley Operations Holdco LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2025 | 100% |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Lake Valley Realty Holdco LLC | Adp of the SNF | Jun 1, 2025 | |
| Sterling Therapy Solutions LLC | Adp of the SNF | Jun 1, 2025 | |
| Sandra Aponte | Operational/Managerial Control | Jun 1, 2025 | |
| Ulysses McAlpine | Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Shlomo E Heller | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 10% |
| Adp of the SNF | Jun 1, 2025 | ||
| Lake Forest Health & Rehabilitation Propco LLC | Adp of the SNF | Jun 1, 2025 | |
| Shiftster LLC | Adp of the SNF | Jun 1, 2025 | |
| Ephraim Nussbaum | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 10% |
| Adp of the SNF | Jun 1, 2025 | ||
| Richard Derienzo | Adp of the SNF | Jun 1, 2025 | |
| Pamela Bibeault | Adp of the SNF | Jun 1, 2025 | |
| Centralized Business Services LLC | Adp of the SNF | Aug 1, 2024 | |
| Triad Healthcare LLC | Adp of the SNF | Jun 1, 2025 | |
| Akindele Majekodunmi | Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jul 8, 2025 |
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
- North Andover, MA
- NPI 1447411764
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Specialist/Technologist
- Lakewood, NJ
- NPI 1912208612
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1477540185
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1619504040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DUTCH LANE RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 LOG RD",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029171518",
"telephone_number": "401-231-7016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR HAVEN OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-25",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "YARMUSH",
"authorized_official_first_name": "YEHUDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "646-236-4634"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.