Organization Active NPI

Cortland Place Rehab Center LLC

  • Skilled Nursing Facility
  • Greenville, RI
National Provider Identifier
1730727256
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Dec 16, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ComCCN 415123
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 7, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8074.6 residents per day on average
Chain
Eden Healthcare7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Eden Healthcare LLC Organization, Brooklyn, NY LLC, Management services company, For-profit Operational/Managerial Control Dec 4, 2019
Moshe Weiss Individual 5% Or Greater Indirect Ownership Interest Oct 18, 2018 25.05%
Louis Gellis Individual 5% Or Greater Indirect Ownership Interest Oct 18, 2018 25%
Corporate OfficerPresident Oct 18, 2018
Susan Misto Individual W-2 Managing EmployeeAdministrator Dec 4, 2019
WF Cortland LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2018 75%
Joshua Fogel Individual 5% Or Greater Indirect Ownership Interest Oct 18, 2018 24.97%
Naftali Weiss Individual 5% Or Greater Indirect Ownership Interest Oct 18, 2018 24.97%
Cortland Place Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit 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

Verify at the official NPI Registry.