Organization Active NPI

Mount Holly Operator LLC

  • Skilled Nursing Facility
  • Lumberton, NJ
National Provider Identifier
1861143992
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOUNT HOLLY OPERATOR LLC
Practice address
62 Richmond Ave
Lumberton, NJ 08048-1632
Phone
(732) 903-1985
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Mindee Posen
Title
Cfo
Phone
(845) 825-2217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

62 Richmond Ave
Lumberton, NJ 08048-1632

Mailing address

1608 Route 88 Ste 301
Brick, NJ 08724-3009
Phone (732) 903-1985

Other names 1

  • Mount Holly Rehabilitation and Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220602000132 NJ Part A Provider - Skilled Nursing Facility 3476931593 Practice locations: Lumberton, NJ

Skilled nursing facility certification: CCN 315128

Legal name
MOUNT HOLLY OPERATOR LLC
Doing business as
MOUNT HOLLY REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 16, 1971
Last certification
Feb 7, 2025
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Marquis Healthcare
Organization structure
LLCProprietary
Incorporated
Oct 7, 2021 in NJ
Enrollment address
62 Richmond Ave
Lumberton, NJ 08048-1632
Nursing home name
MOUNT HOLLY REHABILITATION & HEALTHCARE CENTER
Affiliated entity
MARQUIS HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mount Holly Rehabilitation & Healthcare CenterCCN 315128
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 16, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180160.6 residents per day on average
Chain
Marquis Health Services87 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
31D0674669Mount Holly Operator, LLC62 Richmond Avenue, Lumberton, NJ 08048Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Tryko Nexgen Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 28, 2022 56.8%
Adp of the SNF Apr 28, 2022
Organization, Monsey, NY Corporation, Consulting firm, For-profit Adp of the SNF Mar 13, 2025
Dina Harman Individual Managing Control - Governing BodyMember of Governing Body Apr 28, 2022
Adp of the SNF Apr 28, 2022
Reliant Pro Rehab LLC Organization, Plano, TX LLC, Medical provider/supplier, For-profit Operational/Managerial Control Apr 28, 2022
Adp of the SNF Mar 13, 2025
Yr Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Apr 28, 2022 28.4%
Adp of the SNF Apr 28, 2022
Marquis Limited LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control Apr 28, 2022
Adp of the SNF Mar 13, 2025
Organization, Manalapan, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 13, 2025
SK Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Apr 28, 2022 14.2%
Adp of the SNF Apr 28, 2022
Mindee Posen Individual Corporate OfficerMedicare Administration Officer Apr 28, 2022
Adp of the SNF Apr 28, 2022
TD Bank N.a. Organization, Bridgewater, NJ Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Apr 28, 2022 75%
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 13, 2025
Rsbrmk Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 28, 2022 21.8%
Adp of the SNF Apr 28, 2022
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 13, 2025
NFR 2020 Irrv TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Apr 28, 2022 21.8%
Adp of the SNF Apr 28, 2022
Yk Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Apr 28, 2022 14.2%
Adp of the SNF Apr 28, 2022
Gary Bauer Individual Managing Control - Governing BodyMember of Governing Body Apr 28, 2022
Adp of the SNF Apr 28, 2022
Timothy Dallos Individual Corporate DirectorAdministrator Oct 1, 2024
Operational/Managerial Control Oct 1, 2024
Managing Control - Governing BodyMember of Governing Body Oct 1, 2024
Adp of the SNF Oct 1, 2024
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Mar 13, 2025
Ukr Nexgen LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 28, 2022 20%
Adp of the SNF Apr 28, 2022
Yogesh V Viroja Individual Managing Control - Governing BodyMember of Governing Body Apr 28, 2022
Adp of the SNF Apr 28, 2022
Soumya Bollampally Individual Operational/Managerial Control Apr 28, 2022
Adp of the SNF Apr 28, 2022
Uak 2020 Irrv TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Apr 28, 2022 20%
Adp of the SNF Apr 28, 2022
Quinto Nexgen LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 28, 2022 78.6%
Adp of the SNF Apr 28, 2022
Nutraco LLC Organization, Hollywood, FL LLC, Management services company, For-profit Operational/Managerial Control Sep 12, 2024
Adp of the SNF Mar 13, 2025
Mount Holly Real Property LLC Organization, Brick, NJ LLC, For-profit Adp of the SNF Apr 28, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 89

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

View all 89

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1861143992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 STE 301",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-903-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 RICHMOND AVE",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080481632",
            "telephone_number": "732-903-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT HOLLY OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-825-2217"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mount Holly Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Holly Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NJ

Sources for this page

Verify at the official NPI Registry.