NPIMap

Organization Active NPI

North Pecan Street Operating LLC

  • Skilled Nursing Facility
  • Newport, AR
National Provider Identifier
1831890268
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTH PECAN STREET OPERATING LLC
Practice address
1311 N Pecan St
Newport, AR 72112-2816
Phone
(870) 523-9514
NPI assigned
Mar 13, 2023
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Yisroel Ganz
Title
Director
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1311 N Pecan St
Newport, AR 72112-2816

Mailing address

1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-6915
Phone (732) 366-5705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709001388 AR Part A Provider - Skilled Nursing Facility 8729523204 Practice locations: Newport, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831890268. Details of each certification follow.

Skilled nursing facility certification: CCN 045323

Legal name
NORTH PECAN STREET OPERATING LLC
Doing business as
THE BLOSSOMS AT WHITE RIVER REHAB & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1997
Last certification
May 2, 2025
Beds
130
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Oasis Healthcare
Most recent change of ownership
Apr 1, 2023
Organization structure
LLCProprietary
Incorporated
Feb 27, 2023 in AR
Enrollment address
1311 N Pecan St
Newport, AR 72112-2816
Nursing home name
THE BLOSSOMS AT WHITE RIVER REHAB & NURSING CENTER
Affiliated entity
THE BLOSSOMS REHAB & NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Blossoms at White River Rehab & Nursing CenterCCN 045323 · All quality measures
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 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13074.5 residents per day on average
Chain
The Blossoms Rehab & Nursing Center23 facilities in the chain
Penalties (3 years)
1Fines totaling $14,316

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0466521Blossoms at White River1311 North Pecan Street, Newport, AR 72112Certificate of waiverAug 31, 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
Matisyohu Herzka Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
Aks Ar Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.34%
Abraham Schreiber Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.34%
Mitchell Keel Individual Corporate DirectorMedical Director Apr 1, 2023 100%
Diamond Opco Holding LLC Organization, Hot Springs, AR Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
MH Ar Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
ZCS Ar Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
Wanda Hendrix Individual W-2 Managing EmployeeAd; Apr 1, 2023 100%
Shlomo Z Scheinbaum Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 33.33%
Corporate OfficerCeo Apr 1, 2023 100%

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 22

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

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1831890268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 3B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016915",
            "telephone_number": "732-366-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N PECAN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721122816",
            "telephone_number": "870-523-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PECAN STREET OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.