Active NPI
Cortland Place Rehab Center LLC
- Skilled Nursing Facility
- Greenville, RI
National Provider Identifier
1730727256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CORTLAND PLACE REHAB CENTER LLC
- Practice address
- 20 Austin Ave
Greenville, RI 02828-1449 - Phone
- (401) 949-3880
- NPI assigned
- Dec 16, 2019
- 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. Louis Gellis
- Title
- President
- Phone
- (718) 975-4714
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
20 Austin Ave
Greenville, RI 02828-1449
Mailing address
20 Austin Ave
Greenville, RI 02828-1449
Phone (401) 949-3880
Other names 1
- Stillwater Assisted Living and Skilled Nursing Community
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191231001315 | RI | Part A Provider - Skilled Nursing Facility | 3476987355 | Practice locations: Greenville, RI |
Skilled nursing facility certification: CCN 415123
- Legal name
- CORTLAND PLACE REHAB CENTER LLC
- Doing business as
- STILLWATER ASSISTED LIVING AND SKILLED NURSING COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 7, 1997
- Last certification
- Mar 19, 2025
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- EDEN HEALTHCARE
- Most recent change of ownership
- Dec 4, 2019
- Organization structure
- LLC
- Incorporated
- Oct 18, 2018 in DE
- Enrollment address
- 20 Austin Ave
Greenville, RI 02828-1449 - Nursing home name
- STILLWATER ASSISTED LIVING AND SKILLED NURSING COMMUNITY
- Affiliated entity
- EDEN HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Stillwater Assisted Living and Skilled Nursing Com
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 7, 1997
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Eden Healthcare
National Provider Directory
National Provider DirectoryLocations
20 Austin Ave
Ofc 1
Greenville, RI 02828
Phone (401) 234-2353
20 Austin Ave
Greenville, RI 02828
Phone (401) 949-3880
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Eden Healthcare LLC | Operational/Managerial Control | Dec 4, 2019 | |
| Moshe Weiss | 5% Or Greater Indirect Ownership Interest | Oct 18, 2018 | 25.05% |
| Louis Gellis | 5% Or Greater Indirect Ownership Interest | Oct 18, 2018 | 25% |
| Corporate Officer | Oct 18, 2018 | ||
| Susan Misto | W-2 Managing Employee | Dec 4, 2019 | |
| WF Cortland LLC | 5% Or Greater Indirect Ownership Interest | Oct 18, 2018 | 75% |
| Joshua Fogel | 5% Or Greater Indirect Ownership Interest | Oct 18, 2018 | 24.97% |
| Naftali Weiss | 5% Or Greater Indirect Ownership Interest | Oct 18, 2018 | 24.97% |
| Cortland Place Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 4, 2019 | 100% |
Practitioners & affiliated clinicians
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": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1730727256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 AUSTIN AVE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281449",
"telephone_number": "401-949-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 AUSTIN AVE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281449",
"telephone_number": "401-949-3880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORTLAND PLACE REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "GELLIS",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-975-4714",
"authorized_official_name_prefix": "Mr."
},
"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": [],
"other_names": [
{
"organization_name": "Stillwater Assisted Living and Skilled Nursing Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.