NPIMap

Organization Active NPI

Hot Springs SNF Opco LLC

Doing business as Lake Forest Livng at Hot Springs Village

  • Skilled Nursing Facility
  • Hot Springs, AR
National Provider Identifier
1659100980
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOT SPRINGS SNF OPCO LLC
Doing business as
Lake Forest Livng at Hot Springs Village
Practice address
121 Cortez Rd
Hot Springs, AR 71909-6101
Phone
(501) 922-2000
NPI assigned
Jul 26, 2024
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Mr. Daniel Mandelbaum, CPA
Title
Cfo
Phone
(718) 570-6018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

121 Cortez Rd
Hot Springs, AR 71909-6101

Mailing address

180 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-2512
Phone (718) 570-6018

Other names 1

  • Lake Forest Livng at Hot Springs Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227003816 AR Part A Provider - Skilled Nursing Facility 1254872104 Practice locations: Hot Springs Village, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659100980. Details of each certification follow.

Skilled nursing facility certification: CCN 045191

Legal name
HOT SPRINGS SNF OPCO LLC
Doing business as
LAKE FOREST SENIOR LIVING AT HOT SPRINGS VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1992
Last certification
Jun 12, 2024
Beds
50
Ownership / control type
Corporation
Multi-facility organization
Continuum Healthcare Inc.
Organization structure
LLCProprietary
Enrollment address
121 Cortez Rd
Hot Springs Village, AR 71909-6101
Nursing home name
LAKE FOREST SENIOR LIVING AT HOT SPRINGS VILLAGE
Affiliated entity
CONTINUUM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Forest Senior Living at Hot Springs VillageCCN 045191 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5040.6 residents per day on average
Chain
Continuum Healthcare13 facilities in the chain
Penalties (3 years)
1Fines totaling $13,627

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
04D0642140Lake Forest Senior Living at Hot Springs Village121 Cortez Road, Hot Springs Village, AR 71909Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Josef Yunger Family 2012 Trust Organization, Lido Beach, NY For-profit Adp of the SNF Aug 1, 2024
Samzil Holdings LLC Organization, Englewood Cliffs, NJ LLC, Holding company, For-profit Adp of the SNF Aug 1, 2024
Daniel Bruckstein Individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
5% Or Greater Security Interest Aug 1, 2024 100%
Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Cheryl Dorn Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
The Efrem Goldberg 2018 Irrevocable Gifting Trust Organization, Boca Raton, FL For-profit Adp of the SNF Aug 1, 2024
Ej Enterprises Ny LLC Organization, Brooklyn, NY LLC, For-profit Adp of the SNF Aug 1, 2024
I Lieber 2018 Family Trust Organization, Brooklyn, NY For-profit Adp of the SNF Aug 1, 2024
Pitsy LLC Organization, Lawrence, NY LLC, For-profit Adp of the SNF Aug 1, 2024
Phyllis Ann Hancock Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Continuum Healthcare I Inc Organization, Englewood Cliffs, NJ Corporation, For-profit Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Andrew Tobias 2021 Family Trust Organization, Edison, NJ For-profit Adp of the SNF Aug 1, 2024
Ar Propco Member LLC Organization, Englewood Cliffs, NJ LLC, For-profit Adp of the SNF Aug 1, 2024
CRTD U-Art 4 of Daniel Bruckstein Grantor Retained Annuity Trust Organization, Englewood Cliffs, NJ For-profit Adp of the SNF Aug 1, 2024
Hot Springs SNF Realty LLC Organization, Englewood Cliffs, NJ LLC, For-profit Adp of the SNF Aug 1, 2024
Neeraj Bharany Individual Adp of the SNF Aug 1, 2024
Wellsky Corporation Organization, Overland Park, KS LLC, For-profit Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024

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 14

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

View all 14

Practitioners & affiliated clinicians

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": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1659100980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SYLVAN AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322512",
            "telephone_number": "718-570-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CORTEZ RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719096101",
            "telephone_number": "501-922-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-570-6018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Livng at Hot Springs Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.