Active NPI
Oc Jewish Home Center LLC
- Skilled Nursing Facility
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OC JEWISH HOME CENTER LLC
- Practice address
- 538 Robeson St
Fall River, MA 02720-5496 - Phone
- (845) 544-4089
- NPI assigned
- May 12, 2022
- Last updated
- May 12, 2022
- 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
- Azriel Lieberman
- Title
- Manager
- Phone
- (845) 544-4089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
538 Robeson St
Fall River, MA 02720-5496
Mailing address
51 Forest Rd Ste 316-385
Monroe, NY 10950-2948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220811001077 | MA | Part A Provider - Skilled Nursing Facility | 8921481722 | Practice locations: Fall River, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1730825647. Details of each certification follow.
Skilled nursing facility certification: CCN 225317
- Legal name
- OC JEWISH HOME CENTER LLC
- Doing business as
- FALL RIVER JEWISH HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 27, 1988
- Last certification
- Jun 10, 2025
- Beds
- 62
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Azure Healthcare
- Most recent change of ownership
- Jul 1, 2022
- Organization structure
- LLC
- Enrollment address
- 538 Robeson St
Fall River, MA 02720-5496 - Nursing home name
- FALL RIVER JEWISH HOME
- Affiliated entity
- AZURE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fall River Jewish Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 27, 1988
- Medicare certification status
- Active
- Certified beds
- 62
- Chain
- Azure Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
51 Forest Rd
Ste 316385
Monroe, NY 10950
Ownership & 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 |
|---|---|---|---|
| Miguel B Brillantes | Operational/Managerial Control | Feb 5, 2025 | |
| Adp of the SNF | Feb 5, 2025 | ||
| Azriel Lieberman | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| PC 538 Robeson LLC | Adp of the SNF | Jul 1, 2022 | |
| Baker Tilly US LLP | Adp of the SNF | Jan 3, 2025 | |
| Oc Jewish Home Center Holdco LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 100% |
| Azure Healthcare Management JH LLC | Adp of the SNF | Jul 1, 2022 | |
| PC 538 Robeson Holdco LLC | Adp of the SNF | Jul 1, 2022 | |
| Chaim S Broyde | Adp of the SNF | Jul 1, 2022 | |
| Sam Spector | Operational/Managerial Control | Jan 15, 2025 | |
| Adp of the SNF | Jan 15, 2025 | ||
| Centralized Business Services LLC | Adp of the SNF | Jul 1, 2022 |
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
- Fall River, MA
- NPI 1609878859
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Fall River, MA
- NPI 1992760912
-
- Geriatric Medicine (Internal Medicine) Physician
- New Bedford, MA
- NPI 1093876906
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": "1652313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1730825647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 FOREST RD STE 316-385",
"city": "MONROE",
"state": "NY",
"postal_code": "109502948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 ROBESON ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205496",
"telephone_number": "845-544-4089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OC JEWISH HOME CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "AZRIEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "845-544-4089"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.