Active NPI
Potomac Valley Operator LLC
- Skilled Nursing Facility
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- POTOMAC VALLEY OPERATOR LLC
- Practice address
- 1235 Potomac Valley Rd
Rockville, MD 20850-2757 - Phone
- (301) 762-0700
- NPI assigned
- Nov 13, 2018
- 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
- Yitzchok Rokowsky
- Title
- Member
- Phone
- (732) 903-1958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1235 Potomac Valley Rd
Rockville, MD 20850-2757
Mailing address
635 Duquesne Blvd
Brick, NJ 08723-5073
Phone (732) 903-1958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190208000147 | MD | Part A Provider - Skilled Nursing Facility | 6103164637 | Practice locations: Rockville, MD |
Skilled nursing facility certification: CCN 215026
- Legal name
- POTOMAC VALLEY OPERATOR LLC
- Doing business as
- POTOMAC VALLEY REHABILITATION AND HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Mar 25, 2025
- Beds
- 175
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medical Facilities of America (MFA)
- Most recent change of ownership
- Jan 1, 2019
- Organization structure
- LLC
- Incorporated
- Oct 31, 2018 in MD
- Enrollment address
- 1235 Potomac Valley Rd
Rockville, MD 20850-2757 - Nursing home name
- POTOMAC VALLEY REHABILITATION AND HEALTHCARE
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Potomac Valley Rehabilitation and Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 175
- Chain
- Lifeworks Rehab
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0882981 | Potomac Valley Rehabilitation and Healthcare | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Aaron Arem | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 7% |
| Dov Green | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 25% |
| Rma Equity LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 7% |
| Israel M Birnbaum | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 22% |
| Corporate Director | Jan 1, 2019 | ||
| Ezedube Eze | Corporate Director | Jul 29, 2024 | |
| W-2 Managing Employee | Jul 29, 2024 | ||
| Jeffrey Arem | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 21% |
| Michele Netzer | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 21% |
| Corporate Director | Jan 1, 2019 | ||
| CP Health Holdco LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rockville, MD
- NPI 1093764953
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1780837997
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1982875449
-
- Internal Medicine Physician
- Washington, DC
- NPI 1326250705
Affiliated clinicians 4
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": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542067200000",
"number": "1831667443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 DUQUESNE BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087235073",
"telephone_number": "732-903-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 POTOMAC VALLEY RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502757",
"telephone_number": "301-762-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTOMAC VALLEY OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A",
"authorized_official_last_name": "ROKOWSKY",
"authorized_official_first_name": "YITZCHOK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-903-1958"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.