Skiles Avenue and Sterling Drive Urban Renewal Operations LLC
Organization Active NPI Skilled Nursing Facility · Piscataway, NJ
NPI 1821532946 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1821532946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0000000 (NJ)
- Legal business name
- SKILES AVENUE AND STERLING DRIVE URBAN RENEWAL OPERATIONS LLC
- Practice address
- 10 Sterling Drive
Piscataway, NJ 08854-1234 - Phone
- (505) 468-4742
- NPI assigned
- Dec 8, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- GENESIS NJ HOLDINGS LLC
Authorized official
- Name
- Michael T Berg, JD
- Title
- Secretary
- Phone
- (505) 468-4742
Owners & managing parties with NPI records 1
-
Hossam M Khalil, M.D.
Corporate family (same tax ID) 1
Facilities with the same owner 178
Practitioners 1
-
Hossam M Khalil, M.D.
Affiliated clinicians 3
-
Mir Sharif Ahmad, MD
-
Ahmad A Mur, MD
-
Parvathy Thiruwilwamala, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Accelerate Skilled Nursing and Rehab Piscataway
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 31, 2017
- Medicare certification status
- Active
- Certified beds
- 124 · 113.5 residents per day on average
- Chain
- Genesis Healthcare
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1 · fines totaling $16,149
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2309059 | Accelerate Skilled Nursing | Certificate of waiver | Aug 7, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Skilled nursing facility certification: CCN 315522
- Legal name
- SKILES AVENUE AND STERLING DRIVE URBAN RENEWAL OPERATIONS LLC
- Doing business as
- ACCELERATE SKILLED NURSING AND REHABILITATION PISCATAWAY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 31, 2017
- Last certification
- Dec 2, 2024
- Beds
- 124
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2024
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 15, 2013 in NJ
- Enrollment address
- 10 Sterling Dr
Piscataway, NJ 08854-1400 - Nursing home name
- ACCELERATE SKILLED NURSING AND REHAB PISCATAWAY
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford |
Corporate Officer |
May 1, 2024 | 100% |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 10.8% |
| Adp of the SNF | Dec 6, 2024 | ||
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 | ||
| Ronald Denti |
Managing Control - Governing Body |
Apr 1, 2024 | |
| Adp of the SNF | Dec 6, 2024 | ||
| McIntosh Thervil |
W-2 Managing Employee |
Apr 1, 2024 | 100% |
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 | ||
| Diane Louise Morris |
Other |
Apr 1, 2024 | 100% |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 | ||
| Genesis Operations LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 | ||
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 5.2% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 5, 2024 | ||
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 65.3% |
| Adp of the SNF | Dec 6, 2024 | ||
| Hossam M Khalil |
Managing Control - Governing Body |
Apr 1, 2024 | |
| Adp of the SNF | Dec 6, 2024 | ||
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 5.7% |
| Adp of the SNF | Dec 6, 2024 | ||
| Arnold M Whitman |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 10.8% |
| Trustee of the SNF | Apr 1, 2024 | ||
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 7.6% |
| Adp of the SNF | Dec 6, 2024 | ||
| Steven E Fishman |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
May 1, 2024 | 100% |
| Michael T Berg |
Corporate Officer |
Apr 1, 2024 | 100% |
| Managing Control - Governing Body |
Apr 1, 2024 | ||
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 | ||
| Genesis NJ Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 | ||
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Adp of the SNF | Dec 6, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170405002069 | NJ | Part a Provider - Skilled Nursing Facility | 8921384942 | Practice locations: Piscataway, NJ |
National Provider Directory
- Tax ID family
- Accelerate Skilled Nursing and Rehabilit
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000 | NJ | Yes |
Addresses
Primary practice location
10 Sterling Drive
Piscataway, NJ 08854-1234
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350
Other names
- ACCELerate Skilled Nursing and Rehabilitation Piscataway
Other providers in Piscataway, NJ
- Gurlynn Singh
- Rashi Singhal
- Robert G Sioss
- Deborah Skibbee
- Skiles Avenue and Sterling Drive Urban Renewal Operations LLC
- Skilled Occupational Therapy Services
- Angela Sluyter
- Smile Garden Pediatric Dentistry
- Smile Wellness LLC
- Sharon Smith-Kemper
All providers in Piscataway, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.