NPIMap

Organization Active NPI

VK Kennebunk, LLC

  • Skilled Nursing Facility
  • Kennebunk, ME
National Provider Identifier
1780924191
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VK KENNEBUNK, LLC
Practice address
158 Ross Rd
Kennebunk, ME 04043-6532
Phone
(207) 985-7141
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Mr. Barry Bokow
Title
Vice President
Phone
(516) 705-4802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

158 Ross Rd
Kennebunk, ME 04043-6532

Mailing address

46 Stauderman Ave
Lynbrook, NY 11563-2524

Other identifiers 1

IdentifierTypeStateIssuer
1780924191MedicaidME

Other names 1

  • Kennebunk Center for Health & Rehabilitation LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000419 ME Part A Provider - Skilled Nursing Facility 8729225339 Practice locations: Kennebunk, ME

Skilled nursing facility certification: CCN 205095

Legal name
VK KENNEBUNK LLC
Doing business as
KENNEBUNK CENTER FOR HEALTH & REHABILITATION LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Jan 16, 2025
Beds
78
Ownership / control type
Limited Liability Corporation
Multi-facility organization
National Healthcare Associates
Organization structure
LLCProprietary
Incorporated
Jan 15, 2013 in DE
Enrollment address
158 Ross Rd
Kennebunk, ME 04043-6532
Nursing home name
KENNEBUNK CENTER FOR HEALTH & REHABILITATION, LLC
Affiliated entity
NATIONAL HEALTH CARE ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kennebunk Center For Health & Rehabilitation, LLCCCN 205095
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7875.7 residents per day on average
Chain
National Health Care Associates42 facilities in the chain

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
20D0087984VK Kennebunk, LLC158 Ross Road, Kennebunk, ME 04043Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Marvin J. Ostreicher Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2013 18%
Corporate OfficerManaging Member Jan 28, 2013 100%
Marvin Ostreicher Family Trust 2012 Organization, Valley Stream, NY 5% Or Greater Indirect Ownership Interest Jan 28, 2013 18%
Ventas NHV Fund Organization, New York, NY Created for acquisition 5% Or Greater Indirect Ownership Interest Jan 28, 2013 8%
Edward Stewart Individual W-2 Managing Employee Sep 26, 2022 100%
Susan Ostreicher Family Trust 2012 Organization, Valley Stream, NY 5% Or Greater Indirect Ownership Interest Jan 28, 2013 18%
VK Health Facilities LLC Organization, Valley Stream, NY Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Jan 15, 2013 100%
Kalman Y Schoor Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2013 6.67%
Robert Gluck Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2013 6.67%
Barry Bokow Individual Corporate OfficerCfo Mar 4, 2013
Jonah Jay Lobell Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2013 6.67%
Meridian Capital Foundation Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jan 28, 2013 6.67%
Susan Ostreicher Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2013 18%
Mso Associates LLC Organization, Lawrence, NY For-profit 5% Or Greater Indirect Ownership Interest Jan 28, 2013 36%
Abraham Weinstock Individual 5% Or Greater Indirect Ownership Interest Jan 28, 2013 6.67%

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1780924191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 STAUDERMAN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ROSS RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436532",
            "telephone_number": "207-985-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VK KENNEBUNK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "BOKOW",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-705-4802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780924191",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennebunk Center for Health & Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.