NPIMap

Organization Active NPI

Oak Glen Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Lewisburg, PA
National Provider Identifier
1821833468
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAK GLEN HEALTHCARE AND REHABILITATION CENTER LLC
Practice address
3201 River Road
Lewisburg, PA 17837
Phone
(570) 524-2271
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Yitzchok Rich
Title
Authorized Member
Phone
(570) 522-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3201 River Road
Lewisburg, PA 17837

Mailing address

3201 River Road
Lewisburg, PA 17837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227001238 PA Part A Provider - Skilled Nursing Facility 7416477971 Practice locations: Lewisburg, PA

Skilled nursing facility certification: CCN 395283

Legal name
OAK GLEN HEALTHCARE AND REHABILITATION CENTER LLC
Doing business as
OAK GLEN HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 11, 1970
Last certification
Sep 27, 2024
Beds
226
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
15 Ridgecrest Cir
Lewisburg, PA 17837-6367
Nursing home name
OAK GLEN HEALTHCARE AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oak Glen Healthcare and Rehabilitation CenterCCN 395283
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 11, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
226109.2 residents per day on average

Processed by Care Compare on Aug 1, 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
Gold PA Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Dec 6, 2024 23.62%
Oak Glen Opco Holdco LLC Organization, Montebello, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 6, 2024 100%
Riverwoods Opco Investco LLC Organization, Montebello, NY LLC 5% Or Greater Indirect Ownership Interest Dec 6, 2024 63%
Yikzchok Rich Individual 5% Or Greater Indirect Ownership InterestAuthorized Member Dec 6, 2024 10%
Star PA I Holdings LLC Organization, Howell, NJ LLC 5% Or Greater Indirect Ownership Interest Dec 6, 2024 5%
PA NBK Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Dec 6, 2024 27%
Aysan TR Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Dec 6, 2024 3.15%
Vikas Passi Individual Operational/Managerial Control Dec 6, 2024
Adp of the SNF Feb 20, 2025
Star PA I Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Dec 6, 2024 30%
Copper PA Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Dec 6, 2024 6.3%
Silver PA Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Dec 6, 2024 23.62%
Buah MD Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Dec 6, 2024 3.15%
Amber Bartlett Individual Operational/Managerial Control Dec 6, 2024
Adp of the SNF Feb 20, 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 6

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1821833468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 RIVER ROAD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "17837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 RIVER ROAD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "17837",
            "telephone_number": "570-524-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GLEN HEALTHCARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "570-522-6220"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.