NPIMap

Organization Active NPI

Harbor Operator LLC

Doing business as Washington Square Healthcare

  • Skilled Nursing Facility
  • Warren, OH
National Provider Identifier
1639590409
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARBOR OPERATOR LLC
Doing business as
Washington Square Healthcare
Practice address
202 Washington St NW
Warren, OH 44483-4735
Phone
(330) 399-8997
NPI assigned
Dec 21, 2013
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Samuel Sherman
Title
Managing Member
Phone
(516) 621-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OH Primary

Addresses

Primary practice location

202 Washington St NW
Warren, OH 44483-4735

Mailing address

202 Washington St NW
Warren, OH 44483-4735
Phone (330) 399-8997

Other names 1

  • Washington Square Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625002154 OH Part A Provider - Skilled Nursing Facility 3678798105 Practice locations: Warren, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639590409. Details of each certification follow.

Skilled nursing facility certification: CCN 365784

Legal name
HARBOR OPERATOR LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 22, 1990
Last certification
Apr 24, 2025
Beds
83
Ownership / control type
Limited Liability Corporation
Multi-facility organization
aom
Most recent change of ownership
Jan 1, 2014
Organization structure
LLCProprietary
Incorporated
Sep 18, 2013 in DE
Enrollment address
202 Washington Street NW
Washington Square Healthcare Center
Warren, OH 44483-4735
Nursing home name
WASHINGTON SQUARE HEALTHCARE CENTER
Affiliated entity
AOM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Washington Square Healthcare CenterCCN 365784 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 22, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8369.8 residents per day on average
Chain
Aom Healthcare20 facilities in the chain
Penalties (3 years)
1Fines totaling $46,963

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Mendel Brecher Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 6%
Yitzchok Blumenkrantz Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 11.5%
Samuel Sherman Individual 5% Or Greater Direct Ownership InterestManaging Member Dec 31, 2013 14.75%
Corporate DirectorManaging Member Dec 31, 2013 14.75%
Jeffery Goldstein Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 14.75%
Israel Sherman Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 15.5%
Theresa Bartlett Individual W-2 Managing EmployeeAdministrator Dec 16, 2013
Ernest Schlesinger Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 5%
Jacob Weiss Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 9%
Irving Brecher Individual 5% Or Greater Direct Ownership Interest Dec 31, 2013 6%

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.

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": "1387584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1639590409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WASHINGTON ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834735",
            "telephone_number": "330-399-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WASHINGTON ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834735",
            "telephone_number": "330-399-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-21",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-621-5400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Square Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.