Active NPI
Homestead Rehabilitation & Health Care Center, LLC
- Skilled Nursing Facility
- Newton, NJ
National Provider Identifier
1912243155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061905
- Legal business name
- HOMESTEAD REHABILITATION & HEALTH CARE CENTER, LLC
- Practice address
- 129 Morris Tpke
Newton, NJ 07860-4913 - Phone
- (973) 948-5400
- Fax
- (973) 948-3056
- NPI assigned
- Dec 17, 2012
- 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. Dovid Glenn, LNHA
- Title
- Administrator
- Phone
- (973) 948-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061905 | NJ | Primary |
Addresses
Primary practice location
129 Morris Tpke
Newton, NJ 07860-4913
Mailing address
129 Morris Tpke
Newton, NJ 07860-4913
Phone (973) 948-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4503902 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130218000097 | NJ | Part A Provider - Skilled Nursing Facility | 8022262286 | Practice locations: Newton, NJ |
Skilled nursing facility certification: CCN 315378
- Legal name
- HOMESTEAD REHABILITATION & HEALTH CARE CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 15, 1997
- Last certification
- Mar 12, 2024
- Beds
- 128
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Incorporated
- Jul 26, 2012 in NJ
- Enrollment address
- 129 Morris Turnpike
Newton, NJ 07860-4913 - Nursing home name
- HOMESTEAD REHABILITATION & HEALTH CARE CENTER
- Affiliated entity
- BENJAMIN LANDA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Homestead Rehabilitation & Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Sep 15, 1997
- Medicare certification status
- Active
- Certified beds
- 128
- Chain
- Benjamin Landa
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Debbie Egert | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 5% |
| David Dachs | Corporate Officer | Jul 26, 2012 | |
| PJ&H Holdings, LLC | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 6% |
| Usher Egert | Corporate Officer | Jul 26, 2012 | |
| The White Maple Corporation | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 9% |
| Jcandl Limited Liability Company | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 8% |
| Jake Lighten | Corporate Officer | Nov 30, 2012 | |
| W-2 Managing Employee | Nov 30, 2012 | ||
| Am 145 Holdings, LLC | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 19.99% |
| Chaya Mueller | 5% Or Greater Indirect Ownership Interest | Feb 5, 2016 | 8% |
| Benjamin Landa | 5% Or Greater Direct Ownership Interest | Jul 26, 2012 | 25.51% |
| Ronald Stern | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 9% |
| Uri Lerner | 5% Or Greater Direct Ownership Interest | Feb 5, 2016 | 9% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Newton, NJ
- NPI 1528429222
Am 145 Holdings, LLC, The White Maple Corporation
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1912243155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 MORRIS TPKE",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078604913",
"telephone_number": "973-948-5400",
"fax_number": "973-948-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MORRIS TPKE",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078604913",
"telephone_number": "973-948-5400",
"fax_number": "973-948-3056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD REHABILITATION & HEALTH CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "DOVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "973-948-5400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "061905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4503902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.