Active NPI
SK Nursing Homes Associates LLC
- Skilled Nursing Facility
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060607
- Legal business name
- SK NURSING HOMES ASSOCIATES LLC
- Doing business as
- Lincoln Specialty Care Center
- Practice address
- 1640 S Lincoln Ave
Vineland, NJ 08361-6610 - Phone
- (856) 692-8080
- NPI assigned
- Nov 5, 2008
- 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. Aryeh Stern
- Title
- Member of LLC
- Phone
- (856) 299-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060607 | NJ | Primary |
Addresses
Primary practice location
1640 S Lincoln Ave
Vineland, NJ 08361-6610
Mailing address
1640 S Lincoln Ave
Vineland, NJ 08361-6610
Phone (856) 692-8080
Other names 1
- Lincoln Specialty Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090721000151 | NJ | Part A Provider - Skilled Nursing Facility | 2668524703 | Practice locations: Vineland, NJ |
Skilled nursing facility certification: CCN 315233
- Legal name
- SK NURSING HOMES ASSOCIATES LLC
- Doing business as
- AUTUMN LAKE HEALTHCARE AT VINELAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 20, 1986
- Last certification
- Apr 20, 2023
- Beds
- 190
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 1640 S Lincoln Ave
Vineland, NJ 08361-6610 - Nursing home name
- AUTUMN LAKE HEALTHCARE AT VINELAND
- Affiliated entity
- AUTUMN LAKE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Autumn Lake Healthcare at Vineland
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 20, 1986
- Medicare certification status
- Active
- Certified beds
- 190
- Chain
- Autumn Lake Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Leiby Blau | Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Vinay Nakhate | Adp of the SNF | Feb 18, 2019 | |
| Aryeh Stern | 5% Or Greater Direct Ownership Interest | Dec 13, 2021 | 40.15% |
| Adp of the SNF | Dec 8, 2008 | ||
| Nkas Associates LLC | 5% Or Greater Direct Ownership Interest | Dec 11, 2008 | 100% |
| Adp of the SNF | Dec 11, 2008 | ||
| Mark Schwartz | Corporate Officer | Dec 13, 2021 | |
| Operational/Managerial Control | Dec 13, 2021 | ||
| Neil Kerman | 5% Or Greater Direct Ownership Interest | Dec 13, 2021 | 40.15% |
| Adp of the SNF | Dec 1, 2008 | ||
| NA Real Property Associates LLC | 5% Or Greater Mortgage Interest | Dec 11, 2008 | 100% |
| Adp of the SNF | Dec 11, 2008 | ||
| Isaac Rubin | 5% Or Greater Direct Ownership Interest | Dec 13, 2021 | 11.7% |
| Adp of the SNF | Dec 8, 2008 | ||
| Adp of the SNF | Jun 16, 2025 | ||
| Adp of the SNF | Jun 16, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1386767697
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": "1225843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248652800000",
"number": "1679727598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 S LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083616610",
"telephone_number": "856-692-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 S LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083616610",
"telephone_number": "856-692-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SK NURSING HOMES ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-05",
"last_updated": "2009-07-27",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "ARYEH",
"authorized_official_title_or_position": "MEMBER OF LLC",
"authorized_official_telephone_number": "856-299-6800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lincoln Specialty Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.