Active NPI
Optima Care Brentwood LLC
Doing business as Maria Regina Rehabilitation and Nursing
- Skilled Nursing Facility
- Brentwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OPTIMA CARE BRENTWOOD LLC
- Doing business as
- Maria Regina Rehabilitation and Nursing
- Practice address
- 1725 Brentwood Rd BLDG 1
Brentwood, NY 11717-5543 - Phone
- (631) 299-3000
- NPI assigned
- Jun 20, 2024
- Last updated
- Mar 31, 2026
- 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
- Ilana Avinari
- Title
- Chie Financial Officer
- Phone
- (516) 642-1010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1725 Brentwood Rd BLDG 1
Brentwood, NY 11717-5543
Mailing address
1725 Brentwood Rd BLDG 1
Brentwood, NY 11717-5543
Phone (631) 299-3000
Other names 1
- Maria Regina Rehabilitation and Nursing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240805001564 | NY | Part A Provider - Skilled Nursing Facility | 8527505817 | Practice locations: Brentwood, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619711124. Details of each certification follow.
Skilled nursing facility certification: CCN 335837
- Legal name
- OPTIMA CARE BRENTWOOD LLC
- Doing business as
- MARIA REGINA REHABILITATION AND NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 26, 2002
- Last certification
- Jan 28, 2025
- Beds
- 188
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Enrollment address
- 1725 Brentwood Rd
BLDG 1
Brentwood, NY 11717-5543 - Nursing home name
- MARIA REGINA REHABILITATION AND NURSING
- Affiliated entity
- OPTIMA CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Maria Regina Rehabilitation and Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Feb 26, 2002
- Medicare certification status
- Active
- Certified beds
- 188
- Chain
- Optima Care
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 33D2205302 | Maria Regina Rehabilitation and Nursing | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Tanya Randolph | Operational/Managerial Control | May 9, 2024 | |
| Adp of the SNF | May 9, 2024 | ||
| Alexander Rovt | 5% Or Greater Direct Ownership Interest | May 9, 2024 | 50% |
| RM Holdings Brentwood LLC | Adp of the SNF | May 9, 2024 | |
| Michael Bishai | Adp of the SNF | May 9, 2024 | |
| Eric Mendel | 5% Or Greater Indirect Ownership Interest | May 9, 2024 | 100% |
| Operational/Managerial Control | May 9, 2024 | ||
| Adp of the SNF | May 9, 2024 | ||
| Emm Healthcare Group LLC | Adp of the SNF | May 9, 2024 | |
| Direct Ownership Interest | May 9, 2024 | 40% | |
| Boris Mendel | 5% Or Greater Direct Ownership Interest | May 9, 2024 | 10% |
| Nancy Fitzgerald | Operational/Managerial Control | May 9, 2024 | |
| Adp of the SNF | May 9, 2024 | ||
| Ilana Avinari | Operational/Managerial Control | May 9, 2024 | |
| Adp of the SNF | May 9, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Lindenhurst, NY
- NPI 1649619636
-
- Family Medicine Physician
- Deer Park, NY
- NPI 1437250032
Affiliated clinicians 2
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": "1718841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1619711124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 BRENTWOOD RD BLDG 1",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175543",
"telephone_number": "631-299-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 BRENTWOOD RD BLDG 1",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175543",
"telephone_number": "631-299-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA CARE BRENTWOOD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-20",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "AVINARI",
"authorized_official_first_name": "ILANA",
"authorized_official_title_or_position": "CHIE FINANCIAL OFFICER",
"authorized_official_telephone_number": "516-642-1010"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maria Regina Rehabilitation and Nursing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Maria Regina Rehabilitation and Nursing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.