Organization Active NPI

Klondike Health Center LLC

Doing business as Klondike Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1730896473
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KLONDIKE HEALTH CENTER LLC
Doing business as
Klondike Nursing and Rehabilitation Center
Practice address
3802 Klondike Lane
Louisville, KY 40218
Phone
(502) 452-1579
NPI assigned
Nov 2, 2022
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Mayer Fischl
Title
Owner/Managing Member
Phone
(718) 757-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3802 Klondike Lane
Louisville, KY 40218

Mailing address

300 Provider Court
Richmond, KY 40475

Other names 1

  • Klondike Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111001991 KY Part A Provider - Skilled Nursing Facility 8628429933 Practice locations: Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730896473. Details of each certification follow.

Skilled nursing facility certification: CCN 185333

Legal name
KLONDIKE HEALTH CENTER LLC
Doing business as
KLONDIKE NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1992
Last certification
Dec 20, 2024
Beds
62
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Encore Health Partners
Organization structure
LLCProprietary
Enrollment address
3802 Klondike LN
Louisville, KY 40218-1715
Nursing home name
KLONDIKE NURSING AND REHABILITATION CENTER
Affiliated entity
ENCORE HEALTH PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Klondike Nursing and Rehabilitation CenterCCN 185333 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6260.5 residents per day on average
Chain
Encore Health Partners12 facilities in the chain
Penalties (3 years)
2Fines totaling $33,062

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0673644Klondike Health Center LLC3802 Klondike LN, Louisville, KY 40218Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 35

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

NameRoleSinceShare
Individual Adp of the SNF Oct 20, 2023
Mayer Fischel Individual Corporate OfficerChief Financial Officer Oct 20, 2023 100%
Operational/Managerial ControlChief Financial Officer Oct 20, 2023 100%
Adp of the SNF Oct 20, 2023
Individual Adp of the SNF Oct 20, 2023
Encore Health Partners 2 LLC Organization, Houston, TX LLC, Management services company, Consulting firm Operational/Managerial Control Oct 20, 2023
Adp of the SNF Mar 6, 2025
Cbre Capital Markets Inc Organization, Houston, TX Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 20, 2023 74%
Sarah Zoberman Individual Adp of the SNF Oct 20, 2023
Indirect Ownership Interest Oct 20, 2023 2.5%
3802 Klondike Lane Realty LLC Organization, Louisville, KY LLC Adp of the SNF Oct 20, 2023
Individual Adp of the SNF Jan 1, 2024
Organization, Russellville, KY LLC, Consulting firm Adp of the SNF Mar 6, 2025
David Bloom Individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 5%
Adp of the SNF Oct 20, 2023
Balt M4 LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Candace Blevins Individual Operational/Managerial Control Dec 20, 2021
Adp of the SNF Dec 20, 2021
Organization, Richmond, KY LLC Adp of the SNF Mar 6, 2025
Perigrove 1034 LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
J&R KC Derby Ky Family Investments LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
J & R Family Investments, LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Joan Shemwell Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Oct 20, 2023
Eli Grinspan Individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 72.5%
Corporate OfficerChief Operating Officer Oct 20, 2023 100%
Operational/Managerial ControlChief Operating Officer Oct 20, 2023 100%
Adp of the SNF Oct 20, 2023
KC Derby Ky Partners LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
David Rubenstein Individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 12.5%
Adp of the SNF Oct 20, 2023
David Gefner Individual Adp of the SNF Oct 20, 2023
Richard Seal Individual Adp of the SNF Oct 20, 2023
Encore Realty 2 LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
KC Derby Ky Parent LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Landau Family Investment Trust Organization, Richmond, KY Adp of the SNF Oct 20, 2023
Isaac Grinspan Individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 7.5%
Adp of the SNF Oct 20, 2023
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Oct 20, 2023
Encore Parent Holdings LLC Organization, Richmond, KY Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 20, 2023 100%
Gefner Family Holding LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Individual Adp of the SNF Oct 20, 2023
Individual Adp of the SNF Oct 20, 2023
Encore Investors 2 LLC Organization, Richmond, KY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 100%
KC Derby Ky JV LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023

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 6

Facilities that share an organizational owner with 5% or greater ownership or operational 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.

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1730896473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER COURT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 KLONDIKE LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "502-452-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLONDIKE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "FISCHL",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "718-757-6399"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klondike Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.