Active NPI
Jaffrey Rehabilitation and Nursing Center LLC
- Skilled Nursing Facility
- Jaffrey, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- JAFFREY REHABILITATION AND NURSING CENTER LLC
- Practice address
- 20 Plantation Dr
Jaffrey, NH 03452-6631 - Phone
- (718) 974-0266
- NPI assigned
- Feb 13, 2019
- 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
- Penina Sanik
- Title
- Admin
- Phone
- (845) 709-4910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
20 Plantation Dr
Jaffrey, NH 03452-6631
Mailing address
20 Plantation Dr
Jaffrey, NH 03452-6631
Phone (718) 974-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190515000888 | NH | Part A Provider - Skilled Nursing Facility | 4486997418 | Practice locations: Jaffrey, NH |
Skilled nursing facility certification: CCN 305072
- Legal name
- JAFFREY REHABILITATION AND NURSING CENTER, LLC
- Doing business as
- JAFFREY REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1996
- Last certification
- Apr 16, 2025
- Beds
- 83
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Jan 17, 2019 in NH
- Enrollment address
- 20 Plantation Dr
Jaffrey, NH 03452-6631 - Nursing home name
- JAFFREY REHABILITATION AND NURSING CENTER
- Affiliated entity
- EPHRAM LAHASKY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jaffrey Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Apr 1, 1996
- Medicare certification status
- Active
- Certified beds
- 83
- Chain
- Ephram Lahasky
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0652782 | Jaffrey Rehabilitation and Nursing Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Jessica Dragon | Operational/Managerial Control | Nov 11, 2024 | |
| Managing Control - Governing Body | Nov 11, 2024 | ||
| Adp of the SNF | Apr 8, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | Jan 17, 2019 | 99% |
| Adp of the SNF | May 21, 2025 | ||
| Direct Ownership Interest | Jan 17, 2019 | 1% | |
| Adp of the SNF | Feb 22, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | Feb 12, 2026 | ||
| Adp of the SNF | May 21, 2025 | ||
| Adp of the SNF | May 21, 2025 | ||
| Akindele Majekodunmi | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jul 28, 2025 |
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
- North Andover, MA
- NPI 1447411764
Adp of the SNF, Operational/Managerial Control
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
- North Andover, MA
- NPI 1447411764
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Keene, NH
- NPI 1912101171
Nursing home
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1447411764
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1801352091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PLANTATION DR",
"city": "JAFFREY",
"state": "NH",
"postal_code": "034526631",
"telephone_number": "718-974-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PLANTATION DR",
"city": "JAFFREY",
"state": "NH",
"postal_code": "034526631",
"telephone_number": "718-974-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAFFREY REHABILITATION AND NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-13",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "SANIK",
"authorized_official_first_name": "PENINA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "845-709-4910"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jaffrey, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.