Organization Active NPI

Stanton Health Center LLC

Doing business as Stanton Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Stanton, KY
National Provider Identifier
1891270112
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100445OtherKYLICENSE
7100585320MedicaidKY

Other names 1

  • Stanton Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.stantonnursingandrehabilitation.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 185352 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8172.4 residents per day on average
Chain
Benjamin Landa48 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
18D0322593Stanton Health Center LLC D/B/a31 Derickson Lane, Stanton, KY 40380Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Alexander Platschek Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 15%
Michael C Fielden Individual W-2 Managing EmployeeAdministrator Apr 11, 2023 33%
Operational/Managerial ControlAdministrator Apr 11, 2023 33%
Goldie Platschek Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 24.5%
Moshe Kelman Individual Operational/Managerial ControlManaging Member Sep 1, 2018 33%
Metropolitan Commercial Bank Organization, New York, NY Created for acquisition, Corporation, Financial institution 5% Or Greater Security Interest Sep 1, 2018 100%
David Rubenstein Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 7%
Thomas T Tackett Individual Operational/Managerial ControlRegional Director Aug 1, 2022 33%
Benjamin Landa Individual 5% Or Greater Direct Ownership Interest Sep 1, 2018 43.5%
Cibc Bank USA Organization, Troy, MI Corporation, Financial institution 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.

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

Sources for this page

Verify at the official NPI Registry.