Active NPI
Mount Holly Operator LLC
- Skilled Nursing Facility
- Lumberton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 16, 1971
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Marquis Health Services
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
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 |
|---|---|---|---|
| 31D0674669 | Mount Holly Operator, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tryko Nexgen Holdings LLC | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 56.8% |
| Adp of the SNF | Apr 28, 2022 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Dina Harman | Managing Control - Governing Body | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| Reliant Pro Rehab LLC | Operational/Managerial Control | Apr 28, 2022 | |
| Adp of the SNF | Mar 13, 2025 | ||
| Yr Nexgen TR | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 28.4% |
| Adp of the SNF | Apr 28, 2022 | ||
| Marquis Limited LLC | Operational/Managerial Control | Apr 28, 2022 | |
| Adp of the SNF | Mar 13, 2025 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| SK Nexgen TR | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 14.2% |
| Adp of the SNF | Apr 28, 2022 | ||
| Mindee Posen | Corporate Officer | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| TD Bank N.a. | 5% Or Greater Security Interest | Apr 28, 2022 | 75% |
| Adp of the SNF | Mar 13, 2025 | ||
| Rsbrmk Holdings LLC | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 21.8% |
| Adp of the SNF | Apr 28, 2022 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| NFR 2020 Irrv TR | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 21.8% |
| Adp of the SNF | Apr 28, 2022 | ||
| Yk Nexgen TR | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 14.2% |
| Adp of the SNF | Apr 28, 2022 | ||
| Gary Bauer | Managing Control - Governing Body | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| Timothy Dallos | Corporate Director | Oct 1, 2024 | |
| Operational/Managerial Control | Oct 1, 2024 | ||
| Managing Control - Governing Body | Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Ukr Nexgen LLC | 5% Or Greater Direct Ownership Interest | Apr 28, 2022 | 20% |
| Adp of the SNF | Apr 28, 2022 | ||
| Yogesh V Viroja | Managing Control - Governing Body | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| Soumya Bollampally | Operational/Managerial Control | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| Uak 2020 Irrv TR | 5% Or Greater Indirect Ownership Interest | Apr 28, 2022 | 20% |
| Adp of the SNF | Apr 28, 2022 | ||
| Quinto Nexgen LLC | 5% Or Greater Direct Ownership Interest | Apr 28, 2022 | 78.6% |
| Adp of the SNF | Apr 28, 2022 | ||
| Nutraco LLC | Operational/Managerial Control | Sep 12, 2024 | |
| Adp of the SNF | Mar 13, 2025 | ||
| Mount Holly Real Property LLC | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Voorhees, NJ
- NPI 1205156445
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Phillipsburg, NJ
- NPI 1174515753
Adp of the SNF, Managing Control - Governing Body
Facilities with the same owner 89
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Allendale, NJ
- NPI 1154902252
Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR
-
- Skilled Nursing Facility
- Wayne, NJ
- NPI 1407400674
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Hamilton, NJ
- NPI 1487376752
Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR
-
- Skilled Nursing Facility
- Berlin, NJ
- NPI 1245981372
Marquis Limited LLC, NFR 2020 Irrv TR, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR
-
- Skilled Nursing Facility
- Moorestown, NJ
- NPI 1891334405
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Neptune City, NJ
- NPI 1093180572
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Point Pleasant, NJ
- NPI 1891274197
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Brick, NJ
- NPI 1881148484
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Florham Park, NJ
- NPI 1275277147
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Quinto Nexgen LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR
-
- Skilled Nursing Facility
- Freehold, NJ
- NPI 1477174118
Marquis Limited LLC, Nutraco LLC, Reliant Pro Rehab LLC
-
- Skilled Nursing Facility
- Mount Laurel, NJ
- NPI 1376063651
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Rehabilitation Hospital
- Lawrenceville, NJ
- NPI 1417679481
NFR 2020 Irrv TR, Quinto Nexgen LLC, Rsbrmk Holdings LLC, SK Nexgen TR, Tryko Nexgen Holdings LLC, Uak 2020 Irrv TR, Ukr Nexgen LLC, Yk Nexgen TR, Yr Nexgen TR
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Voorhees, NJ
- NPI 1205156445
-
- Family Medicine Physician
- Moorestown, NJ
- NPI 1720113962
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Marlton, NJ
- NPI 1578608162
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.