NPIMap

Organization Active NPI

Eaton Gardens Rehabilitation and Health Care LLC

  • Skilled Nursing Facility
  • Valley Stream, NY
National Provider Identifier
1871048942
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1403N Issued in OH
Legal business name
EATON GARDENS REHABILITATION AND HEALTH CARE LLC
Practice address
99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163
Phone
(516) 505-0000
NPI assigned
Aug 18, 2016
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
David Gamzeh
Title
Managing Member
Phone
(516) 426-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1403N OH Primary

Addresses

Primary practice location

99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163

Mailing address

515 S Maple St
Eaton, OH 45320-9413

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170324000057 OH Part A Provider - Skilled Nursing Facility 7214212794 Practice locations: Eaton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871048942. Details of each certification follow.

Skilled nursing facility certification: CCN 365557

Legal name
EATON GARDENS REHABILITATION AND HEALTH CARE LLC
Doing business as
MAPLE GARDENS REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 12, 1981
Last certification
Mar 30, 2023
Beds
85
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Garden Healthcare
Organization structure
LLCProprietary
Incorporated
Aug 31, 2015 in OH
Enrollment address
515 S Maple St
Eaton, OH 45320-9413
Nursing home name
MAPLE GARDENS REHABILITIATION AND NURSING CENTER
Affiliated entity
GARDEN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maple Gardens Rehabilitiation and Nursing CenterCCN 365557 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 12, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8567.6 residents per day on average
Chain
Garden Healthcare Group6 facilities in the chain

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
36D0684750Maple Gardens515 South Maple Street, Eaton, OH 45320Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Akiva Tzvi Glatzer Individual 5% Or Greater Direct Ownership Interest Dec 30, 2016 5%
David T Gamzeh Individual 5% Or Greater Direct Ownership Interest Dec 30, 2016 5%
Corporate OfficerSecretary Dec 30, 2016
Ephram M Lahasky Individual Corporate OfficerSenior Vice President Dec 30, 2016
Chickiestrong Eaton Gardens LLC Organization, New York, NY LLC 5% Or Greater Direct Ownership Interest Dec 30, 2016 80%
Garden Ohio Operating Holdings LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Dec 30, 2016 80%
Todd Frasher Individual W-2 Managing EmployeeAdministrator Dec 30, 2016
Chickiestrong Real Estate LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Dec 30, 2016 20.11%
Eli M Leshkowitz Individual 5% Or Greater Indirect Ownership Interest Dec 30, 2016 9.54%
Corporate OfficerAssistant Secretary Dec 30, 2016
Samuel Feuer Individual 5% Or Greater Indirect Ownership Interest Dec 30, 2016 9.54%
Garden Ohio Operating Managing Member LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Dec 30, 2016 59.89%
Joshua Farkovits Individual 5% Or Greater Direct Ownership Interest Dec 30, 2016 5%
Braunstein Bears 2016 Trust Organization, New York, NY 5% Or Greater Indirect Ownership Interest Dec 30, 2016 44.8%
Garden Healthcare Group LLC Organization, New York, NY LLC Operational/Managerial Control Dec 30, 2016

Facilities with the same owner 11

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, and the practitioner matching its NPPES authorized official.

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1871048942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S MAPLE ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W HAWTHORNE AVE",
            "address_2": "SUITE 508",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806163",
            "telephone_number": "516-505-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON GARDENS REHABILITATION AND HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GAMZEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-426-6961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1403N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.