Organization Active NPI

Williamsbridge Manor Nursing Home, LLC

Doing business as Williamsbridge Center for Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1912931833
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7000379N Issued in NY
Legal business name
WILLIAMSBRIDGE MANOR NURSING HOME, LLC
Doing business as
Williamsbridge Center for Rehabilitation and Nursing
Practice address
1540 Tomlinson Ave
Bronx, NY 10461-1527
Phone
(718) 892-6600
Fax
(718) 931-1061
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Mr. Kenneth Rozenberg
Title
Member
Phone
(718) 931-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7000379N NY Primary

Addresses

Primary practice location

1540 Tomlinson Ave
Bronx, NY 10461-1527

Mailing address

4770 White Plains Rd
Bronx, NY 10470-1104
Phone (718) 931-9700

Other identifiers 1

IdentifierTypeStateIssuer
00312478MedicaidNY

Other names 1

  • Williamsbridge Center for Rehabilitation and Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090610000021 NY Part A Provider - Skilled Nursing Facility 5799694071 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335048

Legal name
WILLIAMSBRIDGE MANOR NURSING HOME, LLC
Doing business as
WILLIAMSBRIDGE CENTER FOR REHABILITATION AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 16, 1969
Last certification
Jan 8, 2025
Beds
77
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Dec 27, 2002 in NY
Enrollment address
1540 Tomlinson Ave
Bronx, NY 10461-1527
Nursing home name
WILLIAMSBRIDGE CENTER FOR REHABILITATION AND NRSG
Affiliated entity
CENTERS HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Williamsbridge Center for Rehabilitation and NRSGCCN 335048 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 16, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7775.3 residents per day on average
Chain
Centers Health Care36 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
33D0968329Williamsbridge Center for Rehabilitation1540 Tomlinson Ave, Bronx, NY 10461Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Organization, Bronx, NY LLC, Consulting firm, For-profit Adp of the SNF Mar 19, 2025
Win Myint Individual Operational/Managerial Control Nov 1, 2022
Adp of the SNF Nov 1, 2022
Heidi Hendrix Individual Managing Control - Governing Body Jan 1, 2025
Organization, Brooklyn, NY For-profit Adp of the SNF Mar 21, 2025
Aharon Lantzitsky Individual Managing Control - Governing Body Jan 1, 2025
Individual Adp of the SNF Jan 1, 2000
Organization, Bronx, NY LLC, For-profit Adp of the SNF Jan 1, 2000
Nathan Goldman Individual Managing Control - Governing Body Jan 1, 2025
Elisabeth Farkas Individual 5% Or Greater Direct Ownership Interest Oct 6, 2022 9%
Individual Adp of the SNF Jan 1, 2000
Individual Adp of the SNF Mar 15, 2017
Organization, Hartsdale, NY Corporation, Medical provider/supplier, Medical staffing company, For-profit Adp of the SNF Jul 8, 2025
Kenneth Rozenberg Individual 5% Or Greater Direct Ownership InterestMember Oct 6, 2022 86%
Managing Control - Governing Body Jan 1, 2025
Individual Adp of the SNF Jan 1, 2000
Beth Rozenberg Individual 5% Or Greater Direct Ownership InterestMember Jan 1, 2009 5%
Yosef Friedman Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024

Owners & managing parties with NPI records 1

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

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1912931833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 TOMLINSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611527",
            "telephone_number": "718-892-6600",
            "fax_number": "718-931-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBRIDGE MANOR NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000379N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsbridge Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.