Centennial Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

193902 Issued in PA

Legal business name

CENTENNIAL HEALTHCARE, LLC

Doing business as

Centennial Healthcare and Rehabilitation Center

Practice address

4400 W Girard Ave
Philadelphia, PA 19104-1002

Phone

(215) 477-1170

Fax

(215) 473-8290

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Colev J Gestetner

Title

Managing Member

Phone

(215) 477-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centennial Healthcare and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395950

Legal name

CENTENNIAL HEALTHCARE, LLC

Doing business as

CENTENNIAL HEALTHCARE AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 2, 1995

Last certification

Oct 31, 2024

Beds

180

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Nov 2, 2011 in PA

Enrollment address

4400 W Girard Ave
Philadelphia, PA 19104-1002

Nursing home name

CENTENNIAL HEALTHCARE AND REHABILITATION CENTER

Affiliated entity

COLEV GESTETNER

Listed as

Centennial Healthcare and Rehabilitation CenterCCN 395950 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 2, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180172.1 residents per day on average

Chain

Colev Gestetner7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

Practitioners 3

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

• Theodore Burden, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1811980030
  NPD (past)
• Nicol E. Joseph, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1568494029
  NPD (past)
• John Smyth Michel, DO

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1164697124
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Theodore Burden, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1811980030

  Nursing home

  Care Compare affiliation
• Nicol E. Joseph, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1568494029

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1861760522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041002",
            "telephone_number": "215-477-1170",
            "fax_number": "215-473-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041002",
            "telephone_number": "215-477-1170",
            "fax_number": "215-473-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "GESTETNER",
        "authorized_official_first_name": "COLEV",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "215-477-1170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "193902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "395950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leshae Aina Cenac, M.D.
• Keara Cenatus
• Angel Cendana
• Keith Cengel, MD, PHD
• Centennial Care Continuum
• Centennial Pharmacy Services Incorporated
• Centennial Pharmacy Services Incorporated (centennial Pharmacy Services)
• Lisette Centeno
• Seisha Marcelina Centeno, MD
• Center City Chiropractic & Rehabilitation

• Skilled Nursing Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.

Verify at the official NPI Registry.