Active NPI
Woodmere Rehabilitation and Health Care Center, Inc.
- Skilled Nursing Facility
- Woodmere, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2950315N
- Legal business name
- WOODMERE REHABILITATION AND HEALTH CARE CENTER, INC.
- Practice address
- 121 Franklin Place
Woodmere, NY 11598 - Phone
- (516) 374-9300
- Fax
- (516) 374-1786
- NPI assigned
- May 31, 2005
- 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
- Deborah Ann Flack, ADMINISTRATOR
- Title
- Administrator
- Phone
- (516) 374-9300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2950315N | NY | Primary |
| Nursing Home Administrator | 376G00000X | NY |
Addresses
Primary practice location
121 Franklin Place
Woodmere, NY 11598
Mailing address
121 Franklin Place
Woodmere, NY 11598
Phone (516) 374-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01669772 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100115000194 | NY | Part A Provider - Skilled Nursing Facility | 3173665015 | Practice locations: Woodmere, NY |
Skilled nursing facility certification: CCN 335718
- Legal name
- WOODMERE REHABILITATION AND HEALTH CARE CENTER INC
- Doing business as
- THE FIVE TOWNS PREMIER REHABILITATION & NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 11, 1991
- Last certification
- Nov 26, 2024
- Beds
- 336
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 22, 1996 in NY
- Enrollment address
- 1050 Central Ave
Woodmere, NY 11598-1266 - Nursing home name
- THE FIVE TOWNS PREMIER REHABILITATION & NURSING CENTER
- Affiliated entity
- BENJAMIN LANDA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Five Towns Premier Rehabilitation & Nursing Ce
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 11, 1991
- Medicare certification status
- Active
- Certified beds
- 336
- Chain
- Benjamin Landa
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 33D0885804 | Five Towns Premier Rehabilitation and, the | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mayer Fischel | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 2.5% |
| Corporate Director | Jan 4, 2010 | ||
| Malke Saffran | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 2.5% |
| Corporate Director | Jan 4, 2010 | ||
| Jack Janklowicz | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 5% |
| Corporate Director | Jan 4, 2010 | ||
| Renee Pollak | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 10% |
| Corporate Director | Jan 4, 2010 | ||
| Estate of Deborah Philipson | 5% Or Greater Direct Ownership Interest | Jun 3, 2022 | 18% |
| Joseph Benden | W-2 Managing Employee | Aug 18, 2018 | |
| Leonard Janklowicz | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 6% |
| Corporate Director | Jan 4, 2010 | ||
| Benjamin Landa | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 34.05% |
| Corporate Officer | Jan 4, 2010 | ||
| Corporate Director | Jan 4, 2010 | ||
| Mikols Gottlieb | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 21.95% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Staten Island, NY
- NPI 1174510648
Estate of Deborah Philipson
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1710143268
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1285679498
-
- Internal Medicine Physician
- Lawrence, NY
- NPI 1578544276
Affiliated clinicians 1
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": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522972800000",
"number": "1861495202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FRANKLIN PLACE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "11598",
"telephone_number": "516-374-9300",
"fax_number": "516-374-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FRANKLIN PLACE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "11598",
"telephone_number": "516-374-9300",
"fax_number": "516-374-1786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODMERE REHABILITATION AND HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2018-04-06",
"status": "A",
"authorized_official_last_name": "FLACK",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-374-9300",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "2950315N",
"primary": true
},
{
"code": "376G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01669772",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.