NPIMap

Organization Active NPI

Mountain Top Rehabilitation and Healthcare LLC

  • Skilled Nursing Facility
  • Mountain Top, PA
National Provider Identifier
1912612508
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOUNTAIN TOP REHABILITATION AND HEALTHCARE LLC
Practice address
185 S Mountain Blvd
Mountain Top, PA 18707-1921
Phone
(570) 474-6377
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shai Berdugo
Title
Authorized Official
Phone
(570) 474-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

185 S Mountain Blvd
Mountain Top, PA 18707-1921

Mailing address

575 Route 70 FL 2
Brick, NJ 08723-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926001439 PA Part A Provider - Skilled Nursing Facility 2769836717 Practice locations: Mountain Top, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912612508. Details of each certification follow.

Skilled nursing facility certification: CCN 395542

Legal name
MOUNTAIN TOP REHABILITATION AND HEALTHCARE LLC
Doing business as
MOUNTAIN TOP REHABILITATION & HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1982
Last certification
Apr 18, 2025
Beds
106
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
185 S Mountain Blvd
Mountain Top, PA 18707-1921
Nursing home name
MOUNTAIN TOP REHABILITATION & HEALTHCARE CENTER
Affiliated entity
CENTURY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mountain Top Rehabilitation & Healthcare CenterCCN 395542 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
106100.2 residents per day on average
Chain
Century Healthcare9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Brick, NJ LLC, Holding company Adp of the SNF May 1, 2023
Individual Trustee of the SNF May 1, 2023
Organization, Toms River, NJ Adp of the SNF May 1, 2023
Century II Pennsylania Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Organization, Toms River, NJ LLC Adp of the SNF May 1, 2023
Shai Berdugo Individual 5% Or Greater Indirect Ownership Interest Mar 4, 2025 47.33%
Corporate OfficerReimbursement Officer May 1, 2023
Operational/Managerial Control Mar 4, 2025
Managing Control - Governing BodyManager of the Manager Mar 4, 2025
Adp of the SNF Mar 4, 2025
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 2.91%
Organization, Toms River, NJ LLC Adp of the SNF May 1, 2023
Individual Indirect Ownership Interest May 1, 2023 1.45%
Organization, Toms River, NJ Adp of the SNF May 1, 2023
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Individual Indirect Ownership Interest May 1, 2023 1.45%
Melanie Gallinot Individual Operational/Managerial Control Mar 27, 2025
Adp of the SNF Jun 20, 2025
Individual Indirect Ownership Interest May 1, 2023 0.36%
Individual Indirect Ownership Interest May 1, 2023 1.45%
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Organization, Toms River, NJ Adp of the SNF May 1, 2023
Organization, Brick, NJ LLC, Management services company Adp of the SNF Mar 4, 2025
Organization, Toms River, NJ Adp of the SNF May 1, 2023
Individual Indirect Ownership Interest May 1, 2023 1.45%
Thomas Minora Individual Operational/Managerial Control May 1, 2023
Adp of the SNF Jun 20, 2025
Individual Trustee of the SNF May 1, 2023
Individual Indirect Ownership Interest May 1, 2023 4.36%
Kulanu Oc Trust Organization, Toms River, NJ 5% Or Greater Indirect Ownership Interest May 1, 2023 14.5%
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Individual Indirect Ownership Interest May 1, 2023 3.27%
Individual Trustee of the SNF May 1, 2023
Organization, Toms River, NJ Indirect Ownership Interest May 1, 2023 4.99%
Individual Trustee of the SNF May 1, 2023
Organization, Toms River, NJ Adp of the SNF May 1, 2023
Individual Indirect Ownership Interest May 1, 2023 1.45%
Individual Trustee of the SNF May 1, 2023
Efraim Klein Individual 5% Or Greater Indirect Ownership Interest May 1, 2023 29%
Corporate OfficerCeo May 1, 2023
Century II TBD Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Individual Trustee of the SNF May 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 6

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 5

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1912612508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70 FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071921",
            "telephone_number": "570-474-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TOP REHABILITATION AND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "BERDUGO",
        "authorized_official_first_name": "SHAI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-474-6377"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Top, PA

Sources for this page

Verify at the official NPI Registry.