NPIMap

Organization Active NPI

Cambridge Blue Valley Senior Living LLC

Doing business as Cambridge Place

  • Skilled Nursing Facility
  • Marysville, KS
National Provider Identifier
1699494864
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAMBRIDGE BLUE VALLEY SENIOR LIVING LLC
Doing business as
Cambridge Place
Practice address
1100 N 16TH St
Marysville, KS 66508-1126
Phone
(785) 562-5321
NPI assigned
Aug 23, 2022
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Zisha Margulies
Title
Ceo
Phone
(718) 942-3483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1100 N 16TH St
Marysville, KS 66508-1126

Mailing address

2420 Knapp St
Brooklyn, NY 11235-1006
Phone (718) 942-3483

Other practice location 1

710 Western Ave
Blue Rapids, KS 66411-1236
Phone (785) 363-7777

Other names 1

  • Cambridge Place Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PCC Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127001101 KS Part A Provider - Skilled Nursing Facility 3375914435 Practice locations: Marysville, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699494864. Details of each certification follow.

Skilled nursing facility certification: CCN 175350

Legal name
CAMBRIDGE BLUE VALLEY SENIOR LIVING LLC
Doing business as
CAMBRIDGE PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1995
Last certification
Dec 11, 2023
Beds
115 (91 certified)
Ownership / control type
Corporation
Multi-facility organization
Recover Care
Organization structure
LLCProprietary
Incorporated
Jul 19, 2022 in KS
Enrollment address
1100 N 16TH St
Marysville, KS 66508-1126
Nursing home name
CAMBRIDGE PLACE
Affiliated entity
RECOVER-CARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cambridge PlaceCCN 175350 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9173.8 residents per day on average
Chain
Recover-Care Healthcare27 facilities in the chain

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
17D0921355Cambridge Place Blue Valley Senior Living, LLC710 Western Ave, Blue Rapids, KS 66411Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

710 Western Ave
Blue Rapids, KS 66411
Phone (785) 363-7777

1100 N 16th St
Marysville, KS 66508
Phone (785) 562-5321

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
BHNV 2 LLC Organization, Brooklyn, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 22.5%
Julie Fox Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Apr 8, 2025
Wetr Trust Organization, Rapid City, SD 5% Or Greater Indirect Ownership Interest Feb 28, 2025 16.66%
Adp of the SNF Feb 28, 2025
Avrohom Goldstein Individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 22.5%
Organization, Marysville, KS LLC Adp of the SNF Mar 3, 2025
Jacob M Nagely Individual Operational/Managerial Control Feb 28, 2025
Adp of the SNF Apr 8, 2025
Recover-Care Heartland LLC Organization, Brooklyn, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 99.9%
RNR Holdings LLC Organization, Rapid City, SD LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 16.66%
Adp of the SNF Feb 28, 2025
Amanda Claeys Individual Operational/Managerial Control Feb 28, 2025
MRC SNF Management LLC Organization, Brooklyn, NY LLC, Management services company, For-profit Operational/Managerial Control Dec 1, 2022
Adp of the SNF Mar 3, 2025
Recover-Care SNF Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 27.5%
Zisha Margulies Individual 5% Or Greater Indirect Ownership InterestManaging Member Feb 28, 2025 22.5%
Mad Family Holdings LLC Organization, Rapid City, SD LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 16.66%
Adp of the SNF Feb 28, 2025
Rarmna Holdings LLC Organization, Rapid City, SD LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 28, 2025 16.67%
Adp of the SNF Feb 28, 2025
Moshe Halberstam Individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 5%
Ratr Trust Organization, Rapid City, SD 5% Or Greater Indirect Ownership Interest Feb 28, 2025 16.67%
Adp of the SNF Feb 28, 2025
Natr Trust Organization, Rapid City, SD 5% Or Greater Indirect Ownership Interest Feb 28, 2025 16.66%
Adp of the SNF Feb 28, 2025
Kansas Healthcare Holdings LLC Organization, Brooklyn, NY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 28, 2025 50%
Adp of the SNF Feb 28, 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 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 4

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 7

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1699494864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006",
            "telephone_number": "718-942-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 16TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081126",
            "telephone_number": "785-562-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Rapids",
            "state": "KS",
            "postal_code": "664111236",
            "country_code": "US",
            "telephone_number": "785-363-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMBRIDGE BLUE VALLEY SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "ZISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PCC",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 N 16th St",
            "city": "Marysville",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665081126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cambridge Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, KS

Sources for this page

Verify at the official NPI Registry.