Active NPI
Barre Gardens Nursing and Rehab LLC
- Skilled Nursing Facility
- Barre, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BARRE GARDENS NURSING AND REHAB LLC
- Practice address
- 378 Prospect Street
Barre, VT 05641-5421 - Phone
- (802) 476-4166
- Fax
- (802) 479-5679
- NPI assigned
- Nov 4, 2005
- Last updated
- Mar 8, 2017
- 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
- Mr. Akiva Glatzer
- Title
- Managing Member
- Phone
- (516) 505-0000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0270000189 | VT | |
| Skilled Nursing Facility | 314000000X | VT | Primary |
Addresses
Primary practice location
378 Prospect Street
Barre, VT 05641-5421
Mailing address
99 W Hawthorne Avenue
Suite 508
Valley Stream, NY 11580-6101
Phone (516) 505-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0475037 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170515001352 | VT | Part A Provider - Skilled Nursing Facility | 8123305455 | Practice locations: Barre, VT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831180116. Details of each certification follow.
Skilled nursing facility certification: CCN 475037B
- Legal name
- BARRE GARDENS NURSING AND REHAB LLC
- Organization structure
- LLC
- Incorporated
- May 22, 2015 in VT
- Enrollment address
- 378 Prospect St
Barre, VT 05641-5421 - Nursing home name
- BARRE GARDENS NURSING AND REHAB, LLC
- Affiliated entity
- PRIORITY HEALTHCARE GROUP
National Provider Directory
National Provider Directory- Tax ID family
- Bennington Health and Rehabilitation Center LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bennington Health and Rehabilitation Center
- Skilled Nursing Facility
- Bennington, VT
- NPI 1063409043
-
dba Berlin Health and Rehabilitation Center
- Skilled Nursing Facility
- Barre, VT
- NPI 1962493262
-
dba Burlington Health and Rehabilitation Center
- Skilled Nursing Facility
- Burlington, VT
- NPI 1942297940
-
dba Springfield Health and Rehabilitation Center
- Skilled Nursing Facility
- Springfield, VT
- NPI 1730177239
-
dba St. Johnsbury Health and Rehabilitation Center
- Skilled Nursing Facility
- St Johnsbury, VT
- NPI 1992793491
-
dba Redstone Villa Nursing Home
- Skilled Nursing Facility
- Saint Albans, VT
- NPI 1700873718
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| David T Gamzeh | 5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 25% |
| Samara Holdings Company LLC | 5% Or Greater Direct Ownership Interest | Dec 29, 2020 | 25% |
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 25% |
| Amanda Moxley | Operational/Managerial Control | Oct 17, 2022 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Priority Care Group LLC | Operational/Managerial Control | Jan 1, 2019 | |
| Barre Gardens Holdings LLC | Adp of the SNF | Mar 1, 2016 | |
| Fair Oaks Family Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 28, 2020 | 25% |
| Summation Financial Services LLC | Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Alexandra J Van Dyck | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Apr 24, 2025 | ||
| Clinical Consulting Services LLC | Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jun 27, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Townshend, VT
- NPI 1144424979
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 25
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Athens, PA
- NPI 1720743370
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba Cherry Hill for Nursing and Rehabilitation
- Skilled Nursing Facility
- Westland, MI
- NPI 1225682958
Clinical Consulting Services LLC, Samara Holdings Company LLC, Summation Financial Services LLC
-
dba Colonial Manor for Nursing and Rehabilitation
- Skilled Nursing Facility
- York, PA
- NPI 1386215325
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Forest City, PA
- NPI 1548729619
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Tamaqua, PA
- NPI 1477287407
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1134121353
Clinical Consulting Services LLC, Summation Financial Services LLC
-
dba Hanover Hall for Nursing and Rehabilitation
- Skilled Nursing Facility
- Hanover, PA
- NPI 1467023408
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1326537648
Clinical Consulting Services LLC, Priority Care Group LLC, Samara Holdings Company LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Reading, PA
- NPI 1942799267
Clinical Consulting Services LLC, Priority Care Group LLC, Samara Holdings Company LLC, Summation Financial Services LLC
-
dba Neffsville Nursing and Rehabilitation
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1457922494
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba The Gardens at Stevens
- Skilled Nursing Facility
- Stevens, PA
- NPI 1649631201
Clinical Consulting Services LLC, Fair Oaks Family Holdings LLC, Priority Care Group LLC, Samara Holdings Company LLC, Summation Financial Services LLC
-
dba The Gardens at Easton
- Skilled Nursing Facility
- Easton, PA
- NPI 1275994832
Clinical Consulting Services LLC, Fair Oaks Family Holdings LLC, Priority Care Group LLC, Samara Holdings Company LLC, Summation Financial Services LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Townshend, VT
- NPI 1144424979
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Bridgeton, MO
- NPI 1003996703
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1154384774
-
- Family Medicine Physician
- Spokane Valley, WA
- NPI 1770572943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1831180116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 W HAWTHORNE AVENUE",
"address_2": "SUITE 508",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806101",
"telephone_number": "516-505-0000",
"fax_number": "646-943-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 PROSPECT STREET",
"city": "BARRE",
"state": "VT",
"postal_code": "056415421",
"telephone_number": "802-476-4166",
"fax_number": "802-479-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRE GARDENS NURSING AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "GLATZER",
"authorized_official_first_name": "AKIVA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "516-505-0000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VT",
"license": "0270000189",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0475037",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.