Huntsville TN Opco LLC
Organization Active NPI Skilled Nursing Facility · Huntsville, TN
NPI 1922583657 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1922583657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HUNTSVILLE TN OPCO LLC
- Practice address
- 287 Baker St
Huntsville, TN 37756-3444 - Phone
- (773) 870-7818
- NPI assigned
- Sep 28, 2018
- Organization subpart
- No
Authorized official
- Name
- David Herskowitz
- Title
- Ceo
- Phone
- (212) 444-1991
Owners & managing parties with NPI records 1
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Huntsville Post-Acute and Rehabilitation Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 23, 1992
- Medicare certification status
- Active
- Certified beds
- 96 · 80.9 residents per day on average
- Chain
- Plainview Healthcare Partners
- Penalties (3 years)
- 1 · fines totaling $9,062
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0311414 | Huntsville TN Opco LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Skilled nursing facility certification: CCN 445288
- Legal name
- HUNTSVILLE TN OPCO LLC
- Doing business as
- HUNTSVILLE POST-ACUTE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 23, 1992
- Last certification
- Aug 21, 2024
- Beds
- 96
- Ownership / control type
- Corporation
- Multi-facility organization
- Plainview healthcare
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 6, 2018 in DE
- Enrollment address
- 287 Baker St
Huntsville, TN 37756-3444 - Nursing home name
- HUNTSVILLE POST-ACUTE AND REHABILITATION CENTER
- Affiliated entity
- PLAINVIEW HEALTHCARE PARTNERS
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| David Herskowitz |
Operational/Managerial Control | Nov 1, 2018 | |
| Adp of the SNF | Nov 1, 2018 | ||
| Indirect Ownership Interest | Nov 1, 2018 | 15% | |
| Isaac Moskowitz |
Indirect Ownership Interest | Nov 1, 2018 | 42.5% |
| Jeffrey Arem |
Indirect Ownership Interest | Nov 1, 2018 | 42.5% |
| John Norris |
Operational/Managerial Control | Jun 26, 2023 | |
| Adp of the SNF | Jun 26, 2023 | ||
| Anton Christopher Daniel |
Operational/Managerial Control | Oct 28, 2022 | |
| Adp of the SNF | Oct 18, 2022 | ||
| Huntsville TN Holdco LLC |
Direct Ownership Interest | Nov 1, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190226003445 | TN | Part a Provider - Skilled Nursing Facility | 1355686999 | Practice locations: Huntsville, TN |
National Provider Directory
Locations
287 Baker St
Huntsville, TN 37756
Phone (212) 595-0005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
287 Baker St
Huntsville, TN 37756-3444
Mailing address
2071 Flatbush Ave Ste 12
Brooklyn, NY 11234-4340
Other names
- Huntsville Health and Rehailitation
Other providers in Huntsville, TN
- Grace Primary Care, PC
- Christena Hope Grooms
- Joan Rose Haase
- Beverly Jane Hicks
- Huntsville NH Operations, LLC
- Ashton Jeffers
- Jerry L. Kline
- Lora J Litton
- Pamela Lloyd
- Raven Mechelle Massey
All providers in Huntsville, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.