Active NPI
Wedgewood Care Center Inc
Doing business as Highfield Gardens Care Center of Great Neck
- Skilled Nursing Facility
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2951306N
- Legal business name
- WEDGEWOOD CARE CENTER INC
- Doing business as
- Highfield Gardens Care Center of Great Neck
- Practice address
- 199 Community Dr
Great Neck, NY 11021-5502 - Phone
- (516) 303-0120
- Fax
- (516) 365-2381
- NPI assigned
- Oct 12, 2006
- 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
- Mr. Rafi Motechin
- Title
- Administrator
- Phone
- (516) 303-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2951306N | NY | Primary |
Addresses
Primary practice location
199 Community Dr
Great Neck, NY 11021-5502
Mailing address
199 Community Dr
Great Neck, NY 11021-5502
Phone (516) 303-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00312354 | Medicaid | NY |
Other names 1
- Highfield Gardens Care Center of Great Neck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070220000431 | NY | Part A Provider - Skilled Nursing Facility | 6507968690 | Practice locations: Great Neck, NY |
Skilled nursing facility certification: CCN 335250
- Legal name
- WEDGEWOOD CARE CENTER INC
- Doing business as
- HIGHFIELD GARDENS CARE CENTER OF GREAT NECK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1977
- Last certification
- Feb 3, 2025
- Beds
- 200
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 21, 1989 in NY
- Enrollment address
- 199 Community Dr
Great Neck, NY 11021-5502 - Nursing home name
- HIGHFIELD GARDENS CARE CENTER OF GREAT NECK
- Affiliated entity
- JONATHAN BLEIER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Highfield Gardens Care Center of Great Neck
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 1977
- Medicare certification status
- Active
- Certified beds
- 200
- Chain
- Jonathan Bleier
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 33D2174671 | Highfield Gardens Care Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Highfield Gardens Care Center of Great Neck
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Great Neck, NY
- NPI 1821086448
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Nicolet Maliangos | W-2 Managing Employee | Jan 1, 2020 | |
| Jonathan Bleier | 5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 81% |
| Sorah Bleier | 5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 14% |
| Samuel Schiffer | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 10% |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Manhasset, NY
- NPI 1770958860
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1295979698
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1033219571
-
- Internal Medicine Physician
- Ozone Park, NY
- NPI 1295701357
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": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1659460160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 COMMUNITY DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215502",
"telephone_number": "516-303-0120",
"fax_number": "516-365-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 COMMUNITY DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215502",
"telephone_number": "516-303-0120",
"fax_number": "516-365-2381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEDGEWOOD CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "MOTECHIN",
"authorized_official_first_name": "RAFI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-303-0100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "2951306N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00312354",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highfield Gardens Care Center of Great Neck",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Highfield Gardens Care Center of Great Neck",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.