Active NPI
Elmhurst Operator LLC
Doing business as Elmhurst Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- LTC00786
- Legal business name
- ELMHURST OPERATOR LLC
- Doing business as
- Elmhurst Rehabilitation and Healthcare Center
- Practice address
- 575 Route 70
2ND Floor
Brick, NJ 08723-4042 - Phone
- (732) 415-6003
- NPI assigned
- Aug 11, 2016
- Last updated
- Apr 4, 2024
- 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
- Mr. Mindee Posen
- Title
- Medicare Administration Officer
- Phone
- (732) 903-1958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | LTC00786 | RI | Primary |
Addresses
Primary practice location
575 Route 70
2ND Floor
Brick, NJ 08723-4042
Mailing address
575 Route 70
2ND Floor
Brick, NJ 08723-4042
Phone (732) 415-6003
Other names 1
- Elmhurst 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 RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170110002388 | RI | Part A Provider - Skilled Nursing Facility | 2961783741 | Practice locations: Providence, RI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881148484. Details of each certification follow.
Skilled nursing facility certification: CCN 415084
- Legal name
- ELMHURST OPERATOR LLC
- Doing business as
- ELMHURST REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 2, 1989
- Last certification
- Feb 6, 2025
- Beds
- 206
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- May 25, 2016 in RI
- Enrollment address
- 50 Maude St
Providence, RI 02908-4325 - Nursing home name
- ELMHURST REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- MARQUIS HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Elmhurst Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 2, 1989
- Medicare certification status
- Active
- Certified beds
- 206
- Chain
- Marquis Health Services
- Penalties (3 years)
- 7
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 |
|---|---|---|---|
| 41D0084261 | Elmhurst Operator, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Elmhurst Extended Care Facility
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Elmhurst Extended Care Facility
- Skilled Nursing Facility
- Providence, RI
- NPI 1457776452
Ownership & related parties
All disclosed owners & managing parties 32
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 |
|---|---|---|---|
| Adp of the SNF | Jan 1, 2025 | ||
| Sora Kohn Fam TR Uad 120120 | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 24.5% |
| Adp of the SNF | Dec 31, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Ali a Akhtar | Operational/Managerial Control | Dec 21, 2016 | |
| Adp of the SNF | Dec 21, 2016 | ||
| Adp of the SNF | Apr 30, 2025 | ||
| Nathan Norton | Managing Control - Governing Body | Jan 16, 2019 | |
| Adp of the SNF | Jan 16, 2019 | ||
| Reliant Pro Rehab LLC | Operational/Managerial Control | Dec 13, 2017 | |
| Adp of the SNF | May 1, 2025 | ||
| Ukr Consulting LLC | 5% Or Greater Direct Ownership Interest | Dec 22, 2016 | 10% |
| Adp of the SNF | Dec 22, 2016 | ||
| Lindsey Bouchard | Corporate Director | Jul 12, 2024 | |
| Operational/Managerial Control | Jul 12, 2024 | ||
| Managing Control - Governing Body | Jul 12, 2024 | ||
| Adp of the SNF | Jul 12, 2024 | ||
| SK 2013 Delta Trust | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 22.5% |
| Adp of the SNF | Dec 31, 2021 | ||
| Adp of the SNF | Jan 30, 2024 | ||
| Adp of the SNF | Dec 1, 2017 | ||
| Marquis Limited LLC | Operational/Managerial Control | Jan 1, 2021 | |
| Adp of the SNF | Apr 30, 2025 | ||
| Adp of the SNF | Jan 30, 2024 | ||
| Adp of the SNF | Dec 1, 2017 | ||
| Mindee Posen | Corporate Officer | Dec 21, 2016 | |
| Adp of the SNF | Dec 21, 2016 | ||
| Adp of the SNF | Dec 1, 2017 | ||
| Quinto Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 22, 2016 | 90% |
| Adp of the SNF | Dec 22, 2016 | ||
| Rsbrmk Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 22.5% |
| Adp of the SNF | Dec 31, 2021 | ||
| Tryko Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 22, 2016 | 67.5% |
| Adp of the SNF | Dec 22, 2016 | ||
| NFR 2020 Irrv TR | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 22.5% |
| Adp of the SNF | Dec 31, 2021 | ||
| Adp of the SNF | Jan 30, 2024 | ||
| Yr 2013 Delta TR Ua 03252013 | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 22.5% |
| Adp of the SNF | Dec 31, 2021 | ||
| Adp of the SNF | May 1, 2025 | ||
| Yogesh V Viroja | Managing Control - Governing Body | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Cibc Bank USA | 5% Or Greater Security Interest | Aug 14, 2020 | |
| Adp of the SNF | Apr 30, 2025 | ||
| Uak 2020 Irrv TR | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 9.9% |
| Adp of the SNF | Dec 31, 2021 | ||
| Nutraco LLC | Operational/Managerial Control | Jan 30, 2025 | |
| Adp of the SNF | Jun 17, 2025 | ||
| Pharmerica Drug Systems LLC | Adp of the SNF | May 19, 2025 | |
| Valley Stream Property LLC | Adp of the SNF | Jan 1, 2021 | |
| Adp of the SNF | Apr 30, 2025 |
Owners & managing parties with NPI records 18
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Phillipsburg, NJ
- NPI 1174515753
Adp of the SNF, Managing Control - Governing Body
-
- Internal Medicine Physician
- Providence, RI
- NPI 1457333619
Adp of the SNF, Operational/Managerial Control
-
dba Pharmerica
- Long Term Care Pharmacy
- Colorado Springs, CO
- NPI 1023041696
Adp of the SNF
-
dba PharMerica
- Long Term Care Pharmacy
- Vinton, VA
- NPI 1033139944
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Riverside, CA
- NPI 1033142609
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Cypress, CA
- NPI 1114950789
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Hanover Township, PA
- NPI 1184657769
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Saint Rose, LA
- NPI 1376576942
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Grand Rapids, MI
- NPI 1376576959
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Glasgow, KY
- NPI 1467485037
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- San Diego, CA
- NPI 1588697155
Adp of the SNF
-
dba Pharmerica
- Long Term Care Pharmacy
- Lubbock, TX
- NPI 1619900297
Adp of the SNF
Facilities with the same owner 89
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Allendale Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Allendale, NJ
- NPI 1154902252
Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
dba Arbor Ridge Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Wayne, NJ
- NPI 1407400674
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK 2013 Delta Trust, Uak 2020 Irrv TR, Ukr Consulting LLC, Yr 2013 Delta TR Ua 03252013
-
dba Avalon Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Hamilton, NJ
- NPI 1487376752
Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
dba Berlin Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Berlin, NJ
- NPI 1245981372
Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Moorestown, NJ
- NPI 1891334405
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Quinto Holdings LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK 2013 Delta Trust, Sora Kohn Fam TR Uad 120120, Tryko Holdings, LLC, Uak 2020 Irrv TR, Ukr Consulting LLC, Yr 2013 Delta TR U
-
dba Coral Harbor Rehabilitation and Healthcare Center
- 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, Ukr Consulting LLC
-
- 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, Ukr Consulting LLC
-
dba The Villa at Florham Park Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Florham Park, NJ
- NPI 1275277147
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
- Skilled Nursing Facility
- Freehold, NJ
- NPI 1477174118
Marquis Limited LLC, Nutraco LLC, Reliant Pro Rehab LLC
-
dba Laurel Brook Rehabilitation and Healthcare Center
- 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, Ukr Consulting LLC
-
dba Lawrence Rehabilitation Hospital
- Rehabilitation Hospital
- Lawrenceville, NJ
- NPI 1417679481
NFR 2020 Irrv TR, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
-
dba Lawrence Rehabilitation Hospital
- Skilled Nursing Facility
- Lawrenceville, NJ
- NPI 1497478036
Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Providence, RI
- NPI 1700504396
Nursing home
-
- Internal Medicine Physician
- Woonsocket, RI
- NPI 1396905832
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1881148484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 ROUTE 70",
"address_2": "2ND FLOOR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234042",
"telephone_number": "732-415-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 ROUTE 70",
"address_2": "2ND FLOOR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234042",
"telephone_number": "732-415-6003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMHURST OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-11",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "POSEN",
"authorized_official_first_name": "MINDEE",
"authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
"authorized_official_telephone_number": "732-903-1958",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "RI",
"license": "LTC00786",
"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": "Elmhurst Rehabilitation and Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brick, NJ
- Lauren Eliasen, M.S., CCC-SLP
- Elite Chiropractic and Recovery
- Elizabeth L Barton, MSW, LCSW, LLC
- Megen Melissa Elliott, LPC
- Stephen J. Ellis, M.D.
- Nashwa Emara
- Emdazz Health Services (Fastrack Health Services)
- Emdazz Health Services (Fastrack Community Supports)
- Emdazz Health Services (Fastrack Health Services)
- Emdazz Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.