Active NPI
Optima Care Union City, LLC
- Skilled Nursing Facility
- Union City, NJ
National Provider Identifier
1740937838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OPTIMA CARE UNION CITY, LLC
- Practice address
- 615 23Rd St
Union City, NJ 07087-3505 - Phone
- (201) 348-0818
- NPI assigned
- Mar 8, 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
- Sam Stern
- Title
- Cfo
- Phone
- (877) 567-0402
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
615 23Rd St
Union City, NJ 07087-3505
Mailing address
14C 53Rd St
Brooklyn, NY 11232-2644
Phone (877) 567-0402
Other names 1
- Optima Care Castle Hill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230130001119 | NJ | Part A Provider - Skilled Nursing Facility | 6507237534 | Practice locations: Union City, NJ |
Skilled nursing facility certification: CCN 315344
- Legal name
- OPTIMA CARE UNION CITY, LLC
- Doing business as
- OPTIMA CARE CASTLE HILL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1995
- Last certification
- Mar 10, 2025
- Beds
- 215
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Optimacare
- Most recent change of ownership
- Jul 26, 2023
- Organization structure
- LLC
- Incorporated
- Jul 26, 2022 in NJ
- Enrollment address
- 615 23Rd St
Union City, NJ 07087-3505 - Nursing home name
- OPTIMA CARE CASTLE HILL
- Affiliated entity
- OPTIMA CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Optima Care Castle Hill
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1995
- Medicare certification status
- Active
- Certified beds
- 215
- Chain
- Optima Care
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Margot Domingo | Operational/Managerial Control | Jul 26, 2022 | |
| Adp of the SNF | Jul 26, 2022 | ||
| Paresh P Shukla | Adp of the SNF | Jul 26, 2022 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Adp of the SNF | Apr 8, 2025 | ||
| Eric Mendel | 5% Or Greater Direct Ownership Interest | Jul 26, 2022 | 100% |
| Operational/Managerial Control | Jul 26, 2022 | ||
| Adp of the SNF | Jul 26, 2022 | ||
| Emm Healthcare Group LLC | Adp of the SNF | Jul 26, 2022 | |
| Shiftster LLC | Adp of the SNF | Jul 26, 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
- Union City, NJ
- NPI 1477618767
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1477618767
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sleep Medicine (Internal Medicine) Physician
- Jersey City, NJ
- NPI 1205918679
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1740937838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644",
"telephone_number": "877-567-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 23RD ST",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070873505",
"telephone_number": "201-348-0818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA CARE UNION CITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "877-567-0402"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optima Care Castle Hill",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.