Active NPI
Stanton Health Center LLC
Doing business as Stanton Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Stanton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- STANTON HEALTH CENTER LLC
- Doing business as
- Stanton Nursing and Rehabilitation Center
- Practice address
- 31 Derickson LN
Stanton, KY 40380-2153 - Phone
- (606) 663-2846
- Fax
- (606) 663-8040
- NPI assigned
- Oct 2, 2018
- Last updated
- Sep 1, 2022
- 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
- Moshe Kelman
- Title
- Managing Member
- Phone
- (606) 663-2846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
31 Derickson LN
Stanton, KY 40380-2153
Mailing address
31 Derickson LN
Stanton, KY 40380-2153
Phone (606) 663-2846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100445 | Other | KY | LICENSE |
| 7100585320 | Medicaid | KY |
Other names 1
- Stanton Nursing and Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.stantonnursingandrehabilitation.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181019000001 | KY | Part A Provider - Skilled Nursing Facility | 0648523779 | Practice locations: Stanton, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1891270112. Details of each certification follow.
Skilled nursing facility certification: CCN 185352
- Legal name
- STANTON HEALTH CENTER LLC
- Doing business as
- STANTON NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1992
- Last certification
- Apr 22, 2021
- Beds
- 81
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Apr 27, 2018 in KY
- Enrollment address
- 31 Derickson LN
Stanton, KY 40380-2153 - Nursing home name
- STANTON NURSING AND REHABILITATION CENTER
- Affiliated entity
- BENJAMIN LANDA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Stanton Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 1, 1992
- Medicare certification status
- Active
- Certified beds
- 81
- Chain
- Benjamin Landa
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 |
|---|---|---|---|
| 18D0322593 | Stanton Health Center LLC D/B/a | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alexander Platschek | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 15% |
| Michael C Fielden | W-2 Managing Employee | Apr 11, 2023 | 33% |
| Operational/Managerial Control | Apr 11, 2023 | 33% | |
| Goldie Platschek | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 24.5% |
| Moshe Kelman | Operational/Managerial Control | Sep 1, 2018 | 33% |
| Metropolitan Commercial Bank | 5% Or Greater Security Interest | Sep 1, 2018 | 100% |
| David Rubenstein | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 7% |
| Thomas T Tackett | Operational/Managerial Control | Aug 1, 2022 | 33% |
| Benjamin Landa | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 43.5% |
| Cibc Bank USA | 5% Or Greater Security Interest | Sep 1, 2018 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1568499804
-
- Family Medicine Physician
- Clay City, KY
- NPI 1578677068
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": "1538438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1891270112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 DERICKSON LN",
"city": "STANTON",
"state": "KY",
"postal_code": "403802153",
"telephone_number": "606-663-2846",
"fax_number": "606-663-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 DERICKSON LN",
"city": "STANTON",
"state": "KY",
"postal_code": "403802153",
"telephone_number": "606-663-2846",
"fax_number": "606-663-8040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANTON HEALTH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-02",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "KELMAN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "606-663-2846"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "100445",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100585320",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.stantonnursingandrehabilitation.com/",
"affiliation": "N",
"address_1": "31 Derickson Ln",
"city": "Stanton",
"state": "KY",
"country_code": "US",
"postal_code": "403802153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Stanton Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Stanton Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stanton, KY
- Tina A. Smith, APRN
- Kimberly Anne Sparks, OT
- Speech Therapy Solutions, LLC
- Georgia Sue Stallard, LSW
- Stanton Drugs Inc (Stanton Drugs)
- Stanton Health Facilities LP (Stanton Nursing and Rehabilitation Center)
- Sterling Health Solutions Inc
- Sterling Health Solutions Inc (Sterling Health Stanton Pharmacy)
- Sterling Health Solutions Inc
- Sterling Health Solutions Inc (Sterling Health Care - Stanton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.