Organization Active NPI

Jaffrey Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Jaffrey, NH
National Provider Identifier
1801352091
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 5, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 305072
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8376.1 residents per day on average
Chain
Ephram Lahasky22 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
30D0652782Jaffrey Rehabilitation and Nursing Center20 Plantation Dr, Jaffrey, NH 03452Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Jessica Dragon Individual Operational/Managerial Control Nov 11, 2024
Managing Control - Governing BodyAdministrator Nov 11, 2024
Adp of the SNF Apr 8, 2025
Organization, Bedmister, NJ Financial institution Adp of the SNF May 21, 2025
Ephram M Lahasky Individual 5% Or Greater Direct Ownership Interest Jan 17, 2019 99%
Organization, Howell, NJ LLC Adp of the SNF May 21, 2025
Organization, Springfield, NJ LLC, Owned by another organization or individual Direct Ownership Interest Jan 17, 2019 1%
Organization, Springfield, NJ LLC Adp of the SNF Feb 22, 2025
Organization, Covina, CA LLC, Management services company Adp of the SNF May 21, 2025
Organization, Springfield, NJ LLC, Medical staffing company Adp of the SNF May 21, 2025
Organization, Southfield, MI Corporation Adp of the SNF May 21, 2025
Organization, St Peter Port Private equity company Adp of the SNF Feb 12, 2026
Organization, Quincy, MA Corporation, Management services company Adp of the SNF May 21, 2025
Organization, Hudson, NH LLC, Medical staffing company Adp of the SNF May 21, 2025
Akindele Majekodunmi Individual 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "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

Verify at the official NPI Registry.