Organization Active NPI

Woodmere Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Woodmere, NY
National Provider Identifier
1861495202
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2950315N Issued in NY
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

Updated by the provider on Apr 6, 2018

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2950315N NY Primary
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01669772MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CeCCN 335718 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 11, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
336274.6 residents per day on average
Chain
Benjamin Landa48 facilities in the chain
Penalties (3 years)
1Fines totaling $8,278

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
33D0885804Five Towns Premier Rehabilitation and, the1050 Central Ave, Woodmere, NY 11598Certificate of waiverMar 26, 2027

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
Mayer Fischel Individual 5% Or Greater Direct Ownership Interest Jan 4, 2010 2.5%
Corporate Director Jan 4, 2010
Malke Saffran Individual 5% Or Greater Direct Ownership Interest Jan 4, 2010 2.5%
Corporate Director Jan 4, 2010
Jack Janklowicz Individual 5% Or Greater Direct Ownership Interest Jan 4, 2010 5%
Corporate Director Jan 4, 2010
Renee Pollak Individual 5% Or Greater Direct Ownership Interest Jan 4, 2010 10%
Corporate Director Jan 4, 2010
Estate of Deborah Philipson Organization, Spring Valley, NY Created for acquisition 5% Or Greater Direct Ownership Interest Jun 3, 2022 18%
Joseph Benden Individual W-2 Managing EmployeeAdministrator Aug 18, 2018
Leonard Janklowicz Individual 5% Or Greater Direct Ownership Interest Jan 4, 2010 6%
Corporate Director Jan 4, 2010
Benjamin Landa Individual 5% Or Greater Direct Ownership InterestCeo Jan 4, 2010 34.05%
Corporate Officer Jan 4, 2010
Corporate Director Jan 4, 2010
Mikols Gottlieb Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

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

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

Verify at the official NPI Registry.