Active NPI
Rosewood Gardens SNF LLC
Doing business as Rosewood Gardens Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROSEWOOD GARDENS SNF LLC
- Doing business as
- Rosewood Gardens Rehabilitation and Nursing Center
- Practice address
- 146 Marple Rd
Broomall, PA 19008-2040 - Phone
- (610) 356-0100
- NPI assigned
- Mar 11, 2019
- Last updated
- Nov 30, 2021
- 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 Stern
- Title
- Authorized Member
- Phone
- (848) 249-7952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
146 Marple Rd
Broomall, PA 19008-2040
Mailing address
146 Marple Rd
Broomall, PA 19008-2040
Other names 1
- Rosewood Gardens Rehabilitation and Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190603002451 | PA | Part A Provider - Skilled Nursing Facility | 6901139120 | Practice locations: Broomall, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912465790. Details of each certification follow.
Skilled nursing facility certification: CCN 395052
- Legal name
- ROSEWOOD GARDENS SNF LLC
- Doing business as
- ROSEWOOD GARDENS REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Nov 22, 2024
- Beds
- 146
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Feb 7, 2019 in PA
- Enrollment address
- 146 Marple Rd
Broomall, PA 19008-2040 - Nursing home name
- ROSEWOOD GARDENS REHABILITATION AND NURSING CENTER
- Affiliated entity
- PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rosewood Gardens Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 146
- Chain
- Prestige Healthcare Administrative Services
National Provider Directory
National Provider DirectoryLocations
146 Marple Rd
Radnor, PA 19008
Phone (215) 735-0595
Ownership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| Indirect Ownership Interest | Oct 1, 2022 | 4.99% | |
| RGSH Holdings LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2021 | 100% |
| Raffi G Megerian | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Mar 11, 2025 | ||
| Deanna Kuchinski | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Moshe a Stern | 5% Or Greater Indirect Ownership Interest | Apr 1, 2021 | 75.05% |
| Operational/Managerial Control | Apr 1, 2021 | ||
| Indirect Ownership Interest | Oct 1, 2022 | 1.24% | |
| Indirect Ownership Interest | Oct 1, 2022 | 4.99% | |
| Moss M Ellenbogen | 5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 14.97% |
| Indirect Ownership Interest | Oct 1, 2022 | 1.24% | |
| Indirect Ownership Interest | Oct 1, 2022 | 4.99% | |
| Indirect Ownership Interest | Oct 1, 2022 | 4.99% | |
| Indirect Ownership Interest | Oct 1, 2022 | 1.24% | |
| Rybz LLC | Indirect Ownership Interest | Oct 1, 2022 | 4.99% |
| Indirect Ownership Interest | Oct 1, 2022 | 4.99% | |
| Adp of the SNF | May 13, 2019 | ||
| Indirect Ownership Interest | Oct 1, 2022 | 1.24% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Audubon, PA
- NPI 1295705911
Adp of the SNF, Operational/Managerial Control
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
- Bryn Mawr, PA
- NPI 1528031325
-
- Internal Medicine Physician
- Audubon, PA
- NPI 1295705911
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": "1552262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1912465790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MARPLE RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190082040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MARPLE RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190082040",
"telephone_number": "610-356-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEWOOD GARDENS SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-11",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "848-249-7952"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosewood Gardens Rehabilitation and Nursing Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rosewood Gardens Rehabilitation and Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.