Active NPI
Highland Care Center, Inc
- Skilled Nursing Facility
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7003363N
- Legal business name
- HIGHLAND CARE CENTER, INC
- Practice address
- 9131 175TH St
Jamaica, NY 11432-5517 - Phone
- (718) 657-6363
- Fax
- (718) 657-2725
- NPI assigned
- Nov 17, 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
- Mordecai Zidele
- Title
- Controller
- Phone
- (718) 657-6363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7003363N | NY | Primary |
Addresses
Primary practice location
9131 175TH St
Jamaica, NY 11432-5517
Mailing address
9131 175TH St
Jamaica, NY 11432-5517
Phone (718) 657-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01108727 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111129000096 | NY | Part A Provider - Skilled Nursing Facility | 8820262033 | Practice locations: Jamaica, NY |
Skilled nursing facility certification: CCN 335505
- Legal name
- HIGHLAND CARE CENTER, INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1976
- Last certification
- Feb 6, 2024
- Beds
- 320
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 27, 1989 in NY
- Enrollment address
- 9131 175TH St
Jamaica, NY 11432-5517 - Nursing home name
- HIGHLAND CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Highland Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 1, 1976
- Medicare certification status
- Active
- Certified beds
- 320
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 |
|---|---|---|---|
| Adam M Ostreicher | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 9% |
| Daniel Kret | W-2 Managing Employee | Jan 1, 2022 | |
| Matthew Ostreicher | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 9% |
| Non MRTL TR Uw Milton Ostreicher | 5% Or Greater Direct Ownership Interest | May 10, 2022 | 11.66% |
| Uw Milton Ostreicher MRTL TR | 5% Or Greater Direct Ownership Interest | May 10, 2022 | 11.34% |
| Lara Ostreicher | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 9% |
| Rebecca Ostreicher | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 9% |
| Jaclyn Ostreicher | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 9% |
| David Lichtschein | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 23% |
| Marc Jason Ostreicher | 5% Or Greater Direct Ownership Interest | Apr 16, 2016 | 9% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Cedarhurst, NY
- NPI 1831420967
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Middletown, NY
- NPI 1306402268
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1306232046
-
- Family Medicine Physician
- Bronx, NY
- NPI 1104261379
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1669667325
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1124105036
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1891942645
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1124105036
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1710050554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9131 175TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325517",
"telephone_number": "718-657-6363",
"fax_number": "718-657-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9131 175TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325517",
"telephone_number": "718-657-6363",
"fax_number": "718-657-2725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND CARE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "ZIDELE",
"authorized_official_first_name": "MORDECAI",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "718-657-6363"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7003363N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01108727",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.