NPIMap

Organization Active NPI

Athens Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Athens, PA
National Provider Identifier
1720743370
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ATHENS NURSING AND REHABILITATION CENTER LLC
Practice address
200 S Main St
Athens, PA 18810-1614
Phone
(848) 757-0550
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Joseph Glatzer
Title
Authorized Representative
Phone
(848) 757-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

200 S Main St
Athens, PA 18810-1614

Mailing address

200 S Main St
Athens, PA 18810-1614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125001128 PA Part A Provider - Skilled Nursing Facility 7113319187 Practice locations: Athens, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720743370. Details of each certification follow.

Skilled nursing facility certification: CCN 396137

Legal name
ATHENS NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 6, 2015
Last certification
Jun 14, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Priority Healthcare Group
Organization structure
LLCProprietary
Incorporated
Oct 6, 2021 in PA
Enrollment address
200 South Main Street
Athens, PA 18810-1610
Nursing home name
ATHENS NURSING AND REHABILITATION CENTER
Affiliated entity
CEDAR VIEW HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Athens Nursing and Rehabilitation CenterCCN 396137 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 6, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9072.5 residents per day on average
Chain
Cedar View Holdings9 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Gabriel J Sebbag Individual 5% Or Greater Direct Ownership Interest Dec 30, 2021 10%
Corporate DirectorManager of the Applicant Under T Dec 30, 2021 100%
ML Family Tree Trust Organization, Bergenfield, NJ Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2021 26.67%
Asher Leiser Individual 5% Or Greater Direct Ownership Interest Dec 30, 2021 10%
Samara Fam TR Organization, Lawrence, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 30, 2021 26.67%
Caitlin Bailey Individual Operational/Managerial Control Jun 24, 2024
Adp of the SNF Apr 6, 2025
Priority Care Group LLC Organization, Howell, NJ LLC, Management services company, For-profit Operational/Managerial Control Dec 28, 2022
200 South Main Street Property LLC Organization, Howell, NJ LLC Adp of the SNF Dec 30, 2021
Cedar View TR Organization, Greenville, DE Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 30, 2021 26.67%
ML Kids Holdings LLC Organization, Lawrence, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 30, 2021 26.67%
Summation Financial Services LLC Organization, Howell, NJ LLC, Management services company, For-profit Operational/Managerial Control Dec 28, 2022
Adp of the SNF Apr 9, 2025
Joseph Mwesige Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Apr 24, 2025
Clinical Consulting Services LLC Organization, Eddystone, PA LLC, Consulting firm, For-profit Operational/Managerial Control Dec 28, 2022
Adp of the SNF Apr 9, 2025
Samara Family Holdings LLC Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 30, 2021 26.67%
Cedar View Holdings LLC Organization, Lawrence, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 30, 2021 26.67%

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 2

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 2

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": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1720743370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101614",
            "telephone_number": "848-757-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "GLATZER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "848-757-0550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

Verify at the official NPI Registry.