NPIMap

Organization Active NPI

West Markham Street Operating LLC

  • Skilled Nursing Facility
  • Little Rock, AR
National Provider Identifier
1629653589
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST MARKHAM STREET OPERATING LLC
Practice address
5720 W Markham St
Little Rock, AR 72205-3328
Phone
(501) 664-6834
NPI assigned
Mar 12, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Yisroel Ganz
Title
Incorporator
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5720 W Markham St
Little Rock, AR 72205-3328

Mailing address

1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048
Phone (732) 366-5705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211201001211 AR Part A Provider - Skilled Nursing Facility 6406246750 Practice locations: Little Rock, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629653589. Details of each certification follow.

Skilled nursing facility certification: CCN 045450

Legal name
WEST MARKHAM STREET OPERATING LLC
Doing business as
THE BLOSSOMS AT MIDTOWN REHAB & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 1, 2012
Last certification
May 8, 2024
Beds
154
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Oasis Healthcare Group
Organization structure
LLCProprietary
Incorporated
Dec 1, 2020 in AR
Enrollment address
5720 West Markham Street
Little Rock, AR 72205-3328
Nursing home name
THE BLOSSOMS AT MIDTOWN REHAB & NURSING CENTER
Affiliated entity
THE BLOSSOMS REHAB & NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Blossoms at Midtown Rehab & Nursing CenterCCN 045450 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15485.7 residents per day on average
Chain
The Blossoms Rehab & Nursing Center23 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Ricky Griffin Individual W-2 Managing EmployeeAdministrator Apr 5, 2021 100%
Matisyohu Herzka Individual 5% Or Greater Indirect Ownership Interest Apr 5, 2021 67%
Pine Tree Holding LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 5, 2021 100%
MH Ar Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Apr 5, 2021 67%
ZCS Ar Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Apr 5, 2021 20%
Shlomo Z Scheinbaum Individual 5% Or Greater Indirect Ownership Interest Apr 5, 2021 20%
Corporate OfficerCeo Apr 5, 2021 100%

Facilities with the same owner 22

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

View all 22

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": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1629653589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053328",
            "telephone_number": "501-664-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MARKHAM STREET OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.