Organization Active NPI

Cedar Haven Operations LLC

  • Skilled Nursing Facility
  • Smithfield, RI
National Provider Identifier
1619504040
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on May 28, 2025

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

Authorized official

Name
Yehuda YarmushNPI 1912208612
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealthCCN 415049
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Nov 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13397.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $112,473

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
41D0084597Cedar Haven Operations, LLC180 Log Rd, Smithfield, RI 02917Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Brand Sonnenschine LLP Organization, Brooklyn, NY Adp of the SNF Jun 1, 2025
Lake Valley Ri Management LLC Organization, Lakewood, NJ LLC, Consulting firm Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025
Yehuda Yarmush Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 80%
Operational/Managerial Control Jun 1, 2025
Managing Control - Governing BodyMember Jun 1, 2025
Adp of the SNF Jun 1, 2025
Esri Holdco LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 20%
Adp of the SNF Jun 1, 2025
Lake Valley Operations Holdco LLC Organization, Lakewood, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2025 100%
Operational/Managerial Control Jun 1, 2025
Lake Valley Realty Holdco LLC Organization, Lakewood, NJ LLC Adp of the SNF Jun 1, 2025
Sterling Therapy Solutions LLC Organization, Lakewood, NJ LLC Adp of the SNF Jun 1, 2025
Sandra Aponte Individual Operational/Managerial Control Jun 1, 2025
Ulysses McAlpine Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025
Shlomo E Heller Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 10%
Adp of the SNF Jun 1, 2025
Lake Forest Health & Rehabilitation Propco LLC Organization, Lakewood, NJ LLC Adp of the SNF Jun 1, 2025
Shiftster LLC Organization, Howell, NJ LLC, Medical staffing company Adp of the SNF Jun 1, 2025
Ephraim Nussbaum Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 10%
Adp of the SNF Jun 1, 2025
Richard Derienzo Individual Adp of the SNF Jun 1, 2025
Pamela Bibeault Individual Adp of the SNF Jun 1, 2025
Centralized Business Services LLC Organization, Lakewood, NJ LLC, Consulting firm Adp of the SNF Aug 1, 2024
Triad Healthcare LLC Organization, Providence, RI LLC, Consulting firm Adp of the SNF Jun 1, 2025
Akindele Majekodunmi Individual 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.

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.

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.