NPIMap

Organization Active NPI

Sheepshead Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1790772242
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SHEEPSHEAD NURSING AND REHABILITATION CENTER LLC
Practice address
2840 Knapp St
Brooklyn, NY 11235-1112
Phone
(718) 646-5700
Fax
(718) 646-3499
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Mr. Jerome Kahan
Title
Administrator
Phone
(718) 646-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2840 Knapp St
Brooklyn, NY 11235-1112

Mailing address

2840 Knapp St
Brooklyn, NY 11235-1112
Phone (718) 646-5700

Other names 1

  • HARBOR SITE PARTNERSHIP OLGA LIPSHITZ GEN PTR Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000158 NY Part A Provider - Skilled Nursing Facility 4587706783 Practice locations: Brooklyn, NY

Skilled nursing facility certification: CCN 335677

Legal name
SHEEPSHEAD NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1985
Last certification
Apr 24, 2024
Beds
200
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 25, 2006 in NY
Enrollment address
2840 Knapp St
Brooklyn, NY 11235-1112
Nursing home name
SHEEPSHEAD NURSING & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sheepshead Nursing & Rehabilitation CenterCCN 335677
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200194.5 residents per day on average

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
33D0706402Sheepshead Nursing and Rehabilitation2840 Knapp Street, Brooklyn, NY 11235Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Harbor Site Partnership Olga Lipshitz Gen PTR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2804 Knapp St
Brooklyn, NY 11235

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Morton Paneth Individual 5% Or Greater Direct Ownership Interest Sep 25, 2006 8.3%
Samuel Lipschitz Individual 5% Or Greater Direct Ownership Interest May 23, 2011 12%
Olga Lipschitz Individual General Partnership InterestCeo May 23, 2011 2%
Corporate Officer May 23, 2011 2%
Elliot Lipschitz Individual 5% Or Greater Direct Ownership Interest May 23, 2011 12%
Pearl Kahan Individual 5% Or Greater Direct Ownership Interest Sep 25, 2006 14.1%
Chaim Howard Lipschitz Individual 5% Or Greater Direct Ownership Interest May 23, 2011 12%
Estate of Adolf Weider Organization, Brooklyn, NY For-profit 5% Or Greater Direct Ownership Interest Sep 25, 2006 25%
Jerome Kahan Individual Operational/Managerial ControlAdministrator Sep 25, 2006
Mina Tsantker Individual W-2 Managing EmployeeComptroller Sep 25, 2006

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 6

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1790772242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351112",
            "telephone_number": "718-646-5700",
            "fax_number": "718-646-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351112",
            "telephone_number": "718-646-5700",
            "fax_number": "718-646-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPSHEAD NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-646-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBOR SITE PARTNERSHIP OLGA LIPSHITZ GEN PTR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.