Active NPI
Banyan at Montclair LLC
- Skilled Nursing Facility
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BANYAN AT MONTCLAIR LLC
- Practice address
- 2525 S 135TH Ave
Omaha, NE 68144-2424 - Phone
- (402) 333-2304
- Fax
- (402) 330-1428
- NPI assigned
- Jul 26, 2023
- 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
- Ari Silberstein
- Title
- Authorized Official
- Phone
- (402) 333-2304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2525 S 135TH Ave
Omaha, NE 68144-2424
Mailing address
265 E Merrick Rd Ste 205
Valley Stream, NY 11580-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240617001294 | NE | Part A Provider - Skilled Nursing Facility | 9133662349 | Practice locations: Omaha, NE |
Skilled nursing facility certification: CCN 285054
- Legal name
- BANYAN AT MONTCLAIR LLC
- Doing business as
- THE BANYAN AT MONTCLAIR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1978
- Last certification
- Dec 5, 2024
- Beds
- 175
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Avid Healthcare
- Organization structure
- LLC
- Incorporated
- May 19, 2023 in NE
- Enrollment address
- 2525 S 135TH Ave
Omaha, NE 68144-2424 - Nursing home name
- THE BANYAN AT MONTCLAIR
- Affiliated entity
- AVID HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Banyan at Montclair
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1978
- Medicare certification status
- Active
- Certified beds
- 175
- Chain
- Avid Healthcare Group
- Special focus status
- SFF
- Penalties (3 years)
- 5
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| SF 4140 Olde Washington Boulevard Real Property LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 33% |
| NE SNF Holdco LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 9.6% |
| David Weisz | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 33% |
| Silver NE Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 9.28% |
| Brass NE Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 16.5% |
| David G Sharp | Contracted Managing Employee | Mar 1, 2024 | |
| NE M2 Holdco Opco LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 100% |
| Tulip Investments NE LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 33% |
| BSD Beis Health Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 16.5% |
| Douro Valley Investment, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 33% |
| Ari Silberstein | Corporate Officer | Mar 1, 2024 | |
| NE SNF Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 33% |
| Gold NE Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 9.28% |
| Lindsey Pihlgren | W-2 Managing Employee | Mar 1, 2024 |
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
- Omaha, NE
- NPI 1932117470
Contracted Managing Employee
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sutherland, NE
- NPI 1689355315
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Grand Island, NE
- NPI 1174204887
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Omaha, NE
- NPI 1487335154
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE M2 Holdco Opco LLC, NE SNF Holdco LLC, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- North Platte, NE
- NPI 1679254387
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Ashland, NE
- NPI 1750061644
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Waverly, NE
- NPI 1124709852
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Central City, NE
- NPI 1578244299
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- South Sioux City, NE
- NPI 1598446221
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Blue Hill, NE
- NPI 1710668421
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
-
- Skilled Nursing Facility
- Gretna, NE
- NPI 1558042275
Brass NE Trust, BSD Beis Health Trust, Douro Valley Investment, LLC, Gold NE Trust, NE SNF Holdings LLC, SF 4140 Olde Washington Boulevard Real Property LLC, Silver NE Trust, Tulip Investments NE LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1932117470
-
- Family Medicine Physician
- Omaha, NE
- NPI 1790767713
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": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1780365403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E MERRICK RD STE 205",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S 135TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442424",
"telephone_number": "402-333-2304",
"fax_number": "402-330-1428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANYAN AT MONTCLAIR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "SILBERSTEIN",
"authorized_official_first_name": "ARI",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "402-333-2304"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.