Organization Active NPI

Vantage at West Springfield LLC

  • Skilled Nursing Facility
  • West Springfield, MA
National Provider Identifier
1669358495
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VANTAGE AT WEST SPRINGFIELD LLC
Practice address
42 Prospect Ave
West Springfield, MA 01089-4510
Phone
(413) 733-3151
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Sam Yurowitz
Title
Authorized Official
Phone
(845) 558-2685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

42 Prospect Ave
West Springfield, MA 01089-4510

Mailing address

42 Prospect Ave
West Springfield, MA 01089-4510
Phone (413) 733-3151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260218003387 MA Part A Provider - Skilled Nursing Facility 2264912146 Practice locations: West Springfield, MA

Skilled nursing facility certification: CCN 225262

Legal name
VANTAGE AT WEST SPRINGFIELD LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1979
Last certification
Aug 6, 2024
Beds
168
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bear Mountain Health Care
Organization structure
LLCProprietary
Enrollment address
42 Prospect Ave
West Springfield, MA 01089-4510
Nursing home name
VANTAGE AT WEST SPRINGFIELD LLC
Affiliated entity
VANTAGE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vantage at West Springfield LLCCCN 225262
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
168115.2 residents per day on average
Chain
Vantage Care10 facilities in the chain
Penalties (3 years)
1Fines totaling $13,748
Ownership change
Changed ownership in the last 12 months

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
22D0067300Vantage Health and Rehab of West Springfield LLC42 Prospect Avenue, West Springfield, MA 01089Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Miriam Tehilah Herskovitz Individual 5% Or Greater Direct Ownership Interest Dec 29, 2025 25%
Jennifer Butt Individual Operational/Managerial Control Dec 29, 2025
Adp of the SNF Dec 29, 2025
Jeri Ann Johnson Individual Operational/Managerial Control Dec 29, 2025
Managing Control - Governing Body Dec 29, 2025
Adp of the SNF Dec 29, 2025
Lisa Finn Individual Operational/Managerial Control Dec 29, 2025
Adp of the SNF Dec 29, 2025
Organization, West Springfield, MA LLC Adp of the SNF Feb 3, 2026
David B Peterson Individual Operational/Managerial Control Dec 29, 2025
Adp of the SNF Dec 29, 2025
Vantage West Springfield Realty LLC Organization, West Springfield, MA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Security Interest Dec 29, 2025 100%
Adp of the SNF Dec 29, 2025
LTC Consulting Services LLC Organization, Lakewood, NJ LLC Adp of the SNF Dec 29, 2025
Innovations Healthcare, LLC Organization, Pascoag, RI LLC Operational/Managerial Control Dec 29, 2025
Adp of the SNF Jan 20, 2026
Cheryl Arem Individual 5% Or Greater Direct Ownership Interest Dec 29, 2025 25%
Im Family Holdings LLC Organization, Brooklyn, NY LLC Adp of the SNF Dec 29, 2025
Alexandria Peltier Individual Operational/Managerial Control Dec 29, 2025
Adp of the SNF Dec 29, 2025
Organization, Brooklyn, NY LLC Adp of the SNF Jan 20, 2026
Organization, Brooklyn, NY Adp of the SNF Dec 29, 2025
Jca Capital Associates LLC Organization, Brooklyn, NY LLC Adp of the SNF Dec 29, 2025
Morris Green Individual Operational/Managerial Control Dec 29, 2025
Adp of the SNF Dec 29, 2025
Organization, Brooklyn, NY Adp of the SNF Dec 29, 2025
Sam Yurowitz Individual 5% Or Greater Direct Ownership InterestPrincipal Owners Dec 29, 2025 25%
Corporate OfficerPrincipal Owners Dec 29, 2025
Corporate DirectorPrincipal Owners Dec 29, 2025
Operational/Managerial Control Dec 29, 2025
Managing Control - Governing Body Dec 29, 2025
Adp of the SNF Dec 29, 2025
Organization, Lawrence, NY Adp of the SNF Dec 29, 2025
Organization, Lawrence, NY Adp of the SNF Dec 29, 2025
Yossi Brown Individual 5% Or Greater Direct Ownership InterestPrincipal Owners Dec 29, 2025 25%
Corporate OfficerPrincipal Owners Dec 29, 2025
Corporate Director Dec 29, 2025
Operational/Managerial Control Dec 29, 2025
Managing Control - Governing BodyPrincipal Owners Dec 29, 2025
Adp of the SNF Dec 29, 2025
Organization, Brooklyn, NY LLC, Holding company Adp of the SNF Dec 29, 2025

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 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1669358495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PROSPECT AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894510",
            "telephone_number": "413-733-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PROSPECT AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894510",
            "telephone_number": "413-733-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE AT WEST SPRINGFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "YUROWITZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-558-2685"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.