NPIMap

Organization Active NPI

Peachtree Operating Group LLC

  • Skilled Nursing Facility
  • Gaffney, SC
National Provider Identifier
1821461963
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PEACHTREE OPERATING GROUP LLC
Practice address
1434 N Limestone St
Gaffney, SC 29340-4734
Phone
(864) 487-2717
NPI assigned
Nov 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Anshel Niederman
Title
Manager/Member
Phone
(718) 513-4558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1434 N Limestone St
Gaffney, SC 29340-4734

Mailing address

544 Park Ave Ste B04
Brooklyn, NY 11205-1670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407000101 SC Part A Provider - Skilled Nursing Facility 8527366517 Practice locations: Gaffney, SC

Skilled nursing facility certification: CCN 425095

Legal name
PEACHTREE OPERATING GROUP, LLC
Doing business as
PEACHTREE CENTRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 19, 1973
Last certification
Mar 28, 2025
Beds
151
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ahava Healthcare
Organization structure
LLCProprietary
Enrollment address
1434 N Limestone St
Gaffney, SC 29340-4734
Nursing home name
PEACHTREE CENTRE
Affiliated entity
AHAVA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Peachtree CentreCCN 425095
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 19, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
151147.1 residents per day on average
Chain
Ahava Healthcare16 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
Benjamin Neuman Individual 5% Or Greater Direct Ownership Interest Sep 10, 2015 25%
Brandon Anthony Haubner Individual Operational/Managerial Control May 1, 2024
Adp of the SNF Apr 2, 2025
Organization, Jackson, TN LLC Adp of the SNF Apr 1, 2025
Schmoyer and Company LLC Organization, Columbia, SC Consulting firm Adp of the SNF Jun 1, 2019
Amanda Gallman Individual Operational/Managerial Control Dec 9, 2019
Adp of the SNF Apr 1, 2025
Shiya Labin Individual 5% Or Greater Direct Ownership Interest Sep 10, 2015 22.5%
Anshel Niederman Individual 5% Or Greater Direct Ownership Interest Sep 10, 2015 42.5%
Corporate Officer Dec 18, 2015
Managing Control - Governing Body Dec 18, 2015
Philipson Family Limited Liability Company, LLC Organization, Spring Valley, NY LLC 5% Or Greater Direct Ownership Interest Sep 10, 2015 10%
Organization, Brooklyn, NY LLC, Chain home office Adp of the SNF Apr 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

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": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1821461963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 PARK AVE STE B04",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404734",
            "telephone_number": "864-487-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE OPERATING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "NIEDERMAN",
        "authorized_official_first_name": "ANSHEL",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "718-513-4558"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.