Organization Active NPI

Scottsdale Az Opco LLC

  • Skilled Nursing Facility
  • Scottsdale, AZ
National Provider Identifier
1699559195
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SCOTTSDALE AZ OPCO LLC
Practice address
2620 N 68TH St
Scottsdale, AZ 85257-1202
Phone
(623) 462-2803
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Isaac Rami
Title
Manager
Phone
(201) 928-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2620 N 68TH St
Scottsdale, AZ 85257-1202

Mailing address

1815 Lakewood Road
Toms River, NJ 08755

Other names 1

  • Rehab at Scottsdale Village Square Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231115002299 AZ Part A Provider - Skilled Nursing Facility 8022465848 Practice locations: Scottsdale, AZ

Skilled nursing facility certification: CCN 035217

Legal name
SCOTTSDALE AZ OPCO LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 2, 1993
Last certification
May 18, 2023
Beds
141
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2620 N 68TH St
Scottsdale, AZ 85257-1202
Nursing home name
REHAB AT SCOTTSDALE VILLAGE SQUARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rehab At Scottsdale Village SquareCCN 035217
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 2, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
141108.7 residents per day on average
Special focus status
SFF
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
12Fines totaling $222,503

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
03D0879827Scottsdale Village Rehab2620 N 68TH St, Scottsdale, AZ 85257Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

1815 Lakewood Rd
Ste 137
Toms River, NJ 08755

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Isaac Rami Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 99%
Corporate OfficerPresident Sep 1, 2023
Operational/Managerial Control Sep 1, 2023
Scottsdale Az Holdco LLC Organization, Toms River, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Operational/Managerial Control Sep 1, 2023

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": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1699559195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LAKEWOOD ROAD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N 68TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571202",
            "telephone_number": "623-462-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE AZ OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "RAMI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-928-7800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab at Scottsdale Village Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.