Active NPI
Knollwood Healthcare and Rehab LLC.
- Skilled Nursing Facility
- Mobile, AL
National Provider Identifier
1801524830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- KNOLLWOOD HEALTHCARE AND REHAB LLC.
- Doing business as
- Knollwood Healthcare
- Practice address
- 3151 Knollwood Drive
Mobile, AL 36693 - Phone
- (251) 661-7608
- Fax
- (251) 602-9146
- NPI assigned
- Aug 9, 2022
- 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
- Emanuel Lichtik
- Title
- Owner/Partner
- Phone
- (718) 288-3348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3151 Knollwood Drive
Mobile, AL 36693
Mailing address
3151 Knollwood Drive
Mobile, AL 36693
Phone (251) 661-7608
Other names 1
- Knollwood Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221213002861 | AL | Part A Provider - Skilled Nursing Facility | 3173992120 | Practice locations: Mobile, AL |
Skilled nursing facility certification: CCN 015463
- Legal name
- KNOLLWOOD HEALTHCARE AND REHABILITATION LLC
- Doing business as
- KNOLLWOOD HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 21, 2012
- Last certification
- Mar 27, 2025
- Beds
- 71
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- EL-LLC
- Organization structure
- LLC
- Incorporated
- Mar 28, 2022 in NY
- Enrollment address
- 3151A Knollwood Dr
Mobile, AL 36693-2745 - Nursing home name
- KNOLLWOOD HEALTHCARE
- Affiliated entity
- EPHRAM LAHASKY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Knollwood Healthcare
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 21, 2012
- Medicare certification status
- Active
- Certified beds
- 71
- Chain
- Ephram Lahasky
- Special focus status
- SFF
- Penalties (3 years)
- 5
National Provider Directory
National Provider DirectoryLocations
3151A Knollwood Dr
Mobile, AL 36693
Phone (251) 661-7608
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | Oct 27, 2022 | 100% |
| Jeanne Marie Freeman | W-2 Managing Employee | Oct 27, 2022 | 100% |
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
- Mobile, AL
- NPI 1811995731
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": "1660003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1801524830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 KNOLLWOOD DRIVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "36693",
"telephone_number": "251-661-7608",
"fax_number": "251-602-9146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 KNOLLWOOD DRIVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "36693",
"telephone_number": "251-661-7608",
"fax_number": "251-602-9146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOLLWOOD HEALTHCARE AND REHAB LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-09",
"last_updated": "2026-09-11",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "LICHTIK",
"authorized_official_first_name": "EMANUEL",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "718-288-3348"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Knollwood Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.