Organization Active NPI

Elmhurst Operator LLC

Doing business as Elmhurst Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Brick, NJ
National Provider Identifier
1881148484
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTC00786 Issued in RI
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 415084 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 2, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
206192.3 residents per day on average
Chain
Marquis Health Services87 facilities in the chain
Penalties (3 years)
7Fines totaling $167,593

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
41D0084261Elmhurst Operator, LLC50 Maude St, Providence, RI 02908Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Elmhurst Extended Care Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2025
Sora Kohn Fam TR Uad 120120 Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2021 24.5%
Adp of the SNF Dec 31, 2025
Organization, New Canaan, CT LLC, Consulting firm, For-profit Adp of the SNF May 1, 2025
Ali a Akhtar Individual Operational/Managerial Control Dec 21, 2016
Adp of the SNF Dec 21, 2016
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Apr 30, 2025
Nathan Norton Individual Managing Control - Governing BodyMember of Governing Body Jan 16, 2019
Adp of the SNF Jan 16, 2019
Reliant Pro Rehab LLC Organization, Plano, TX LLC, Medical provider/supplier, For-profit Operational/Managerial Control Dec 13, 2017
Adp of the SNF May 1, 2025
Ukr Consulting LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 22, 2016 10%
Adp of the SNF Dec 22, 2016
Lindsey Bouchard Individual Corporate DirectorAdministrator Jul 12, 2024
Operational/Managerial Control Jul 12, 2024
Managing Control - Governing BodyMember of Governing Body Jul 12, 2024
Adp of the SNF Jul 12, 2024
SK 2013 Delta Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Dec 31, 2021 22.5%
Adp of the SNF Dec 31, 2021
Individual Adp of the SNF Jan 30, 2024
Individual Adp of the SNF Dec 1, 2017
Marquis Limited LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control Jan 1, 2021
Adp of the SNF Apr 30, 2025
Individual Adp of the SNF Jan 30, 2024
Individual Adp of the SNF Dec 1, 2017
Mindee Posen Individual Corporate OfficerMedicare Administration Officer Dec 21, 2016
Adp of the SNF Dec 21, 2016
Individual Adp of the SNF Dec 1, 2017
Quinto Holdings LLC Organization, Brick, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 22, 2016 90%
Adp of the SNF Dec 22, 2016
Rsbrmk Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2021 22.5%
Adp of the SNF Dec 31, 2021
Tryko Holdings, LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2016 67.5%
Adp of the SNF Dec 22, 2016
NFR 2020 Irrv TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 22.5%
Adp of the SNF Dec 31, 2021
Individual Adp of the SNF Jan 30, 2024
Yr 2013 Delta TR Ua 03252013 Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 22.5%
Adp of the SNF Dec 31, 2021
Organization, Manalapan, NJ LLC, Consulting firm, For-profit Adp of the SNF May 1, 2025
Yogesh V Viroja Individual Managing Control - Governing BodyMember of Governing Body Jan 1, 2022
Adp of the SNF Jan 1, 2022
Cibc Bank USA Organization, Chicago, IL Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Aug 14, 2020
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Apr 30, 2025
Uak 2020 Irrv TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 31, 2021 9.9%
Adp of the SNF Dec 31, 2021
Nutraco LLC Organization, Hollywood, FL LLC, Management services company, For-profit Operational/Managerial Control Jan 30, 2025
Adp of the SNF Jun 17, 2025
Pharmerica Drug Systems LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Adp of the SNF May 19, 2025
Valley Stream Property LLC Organization, Brick, NJ LLC, For-profit Adp of the SNF Jan 1, 2021
Organization, Brick, NJ LLC, Consulting firm, For-profit 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.

View all 18

Facilities with the same owner 89

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 89

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "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

Sources for this page

Verify at the official NPI Registry.