NPIMap

Organization Active NPI

Grandell Rehab & Nursing Ctr Inc

  • Skilled Nursing Facility
  • Long Beach, NY
National Provider Identifier
1851486914
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0381774 Issued in NY
Legal business name
GRANDELL REHAB & NURSING CTR INC
Practice address
645 West Broadway
Long Beach, NY 11561-2902
Phone
(516) 889-1100
Fax
(516) 431-0398
NPI assigned
Oct 4, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Mr. Moishe Heller, LNHA
Title
Adminstrator
Phone
(516) 889-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0381774 NY Primary

Addresses

Primary practice location

645 West Broadway
Long Beach, NY 11561-2902

Mailing address

645 West Broadway
Long Beach, NY 11561-2902
Phone (516) 889-1100

Other identifiers 1

IdentifierTypeStateIssuer
00308883MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000446 NY Part A Provider - Skilled Nursing Facility 2466628730 Practice locations: Long Beach, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851486914. Details of each certification follow.

Skilled nursing facility certification: CCN 335498

Legal name
GRANDELL REHAB & NURSING CTR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1976
Last certification
Mar 8, 2024
Beds
278
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 1, 1996 in NY
Enrollment address
645 W Broadway
Long Beach, NY 11561-2956
Nursing home name
GRANDELL REHABILITATION AND NU

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grandell Rehabilitation And NuCCN 335498 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
278272.8 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 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avraham M Weits Individual 5% Or Greater Direct Ownership Interest Feb 17, 2017 50%
Corporate OfficerPresident Feb 17, 2017 50%
Aron Porges Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Moishe Heller Individual Operational/Managerial Control Oct 31, 2018
Adp of the SNF Oct 31, 2018
Dorothy Rubin Individual 5% Or Greater Direct Ownership Interest Dec 23, 2023 50%

Practitioners & affiliated clinicians

Practitioners 6

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.

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1851486914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WEST BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612902",
            "telephone_number": "516-889-1100",
            "fax_number": "516-431-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WEST BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612902",
            "telephone_number": "516-889-1100",
            "fax_number": "516-431-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDELL REHAB & NURSING CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "516-889-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0381774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.