Organization Active NPI

Spring Creek Rehab LLC

  • Skilled Nursing Facility
  • Murray, KY
National Provider Identifier
1912614231
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRING CREEK REHAB LLC
Practice address
1401 S 16TH St
Murray, KY 42071-2804
Phone
(270) 752-2900
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Naftali Weiss
Title
Authorized Signatory
Phone
(917) 613-4386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1401 S 16TH St
Murray, KY 42071-2804

Mailing address

51 Virginia Ave
Clifton, NJ 07012-1222
Phone (917) 613-4386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111001022 KY Part A Provider - Skilled Nursing Facility 2062882962 Practice locations: Murray, KY

Skilled nursing facility certification: CCN 185005

Legal name
SPRING CREEK REHAB LLC
Doing business as
SPRING CREEK POST-ACUTE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
May 10, 2025
Beds
226
Ownership / control type
Corporation
Most recent change of ownership
Nov 14, 2022
Organization structure
LLCProprietary
Incorporated
Aug 11, 2022 in NV
Enrollment address
1401 S 16TH St
Murray, KY 42071-2804
Nursing home name
SPRING CREEK POST-ACUTE REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spring Creek Post-Acute Rehabilitation CenterCCN 185005
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
226130.9 residents per day on average
Penalties (3 years)
6Fines totaling $52,540

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
18D0325685Spring Creek Post-Acute and Rehabilitation Center1401 South 16TH Street, Murray, KY 42071Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
WF Spring Creek Ky LLC Organization, Clifton, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Nov 14, 2022 100%
Joshua Fogel Individual 5% Or Greater Indirect Ownership Interest Nov 14, 2022 50%
Operational/Managerial ControlMember and Manager Nov 14, 2022
Naftali Weiss Individual 5% Or Greater Indirect Ownership Interest Nov 14, 2022 50%
Operational/Managerial ControlMember and Manager Nov 14, 2022
Spring Creek Rehab Holdco LLC Organization, Clifton, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Nov 14, 2022 100%
Operational/Managerial Control Nov 14, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1912614231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 VIRGINIA AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121222",
            "telephone_number": "917-613-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 16TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712804",
            "telephone_number": "270-752-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "NAFTALI",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "917-613-4386"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.