Overlook Eden Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OVERLOOK EDEN OPERATIONS, LLC

Practice address

14 Rock Ave
Pascoag, RI 02859-3220

Phone

(718) 975-4714

NPI assigned

Nov 15, 2019

Last updated

Jan 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louis Gellis

Title

Owner

Phone

(917) 533-7241

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760027544. Details of each certification follow.

• CCN 415045 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 415045

Legal name

OVERLOOK EDEN OPERATIONS LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 11, 1989

Last certification

May 6, 2025

Beds

100

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Overlook Eden Operations, LLC

Most recent change of ownership

Dec 1, 2019

Organization structure

LLCProprietary

Incorporated

Feb 28, 2019 in DE

Enrollment address

14 Rock Ave
Pascoag, RI 02859-3220

Nursing home name

OVERLOOK NURSING AND REHABILITATION CENTER

Affiliated entity

EDEN HEALTHCARE

Listed as

Overlook Nursing and Rehabilitation CenterCCN 415045 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 11, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10085.8 residents per day on average

Chain

Eden Healthcare7 facilities in the chain

Penalties (3 years)

1Fines totaling $10,358

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 2

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1760027544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROCK AVE",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593220",
            "telephone_number": "718-975-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLOOK EDEN OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "GELLIS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-533-7241"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Pascoag, RI
• Providers in Pascoag, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.

Verify at the official NPI Registry.