NPIMap

Organization Active NPI

Springs Rehabilitation at Brandywine LLC

  • Skilled Nursing Facility
  • Wilmington, DE
National Provider Identifier
1922689249
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRINGS REHABILITATION AT BRANDYWINE LLC
Practice address
505 Greenbank Rd
Wilmington, DE 19808-3164
Phone
(302) 998-0101
Fax
(302) 998-2922
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Moshe A Stern
Title
Authorized Member
Phone
(848) 249-7952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

505 Greenbank Rd
Wilmington, DE 19808-3164

Mailing address

505 Greenbank Rd
Wilmington, DE 19808-3164
Phone (302) 998-0101

Other names 1

  • Coral Springs Rehab and Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604002752 DE Part A Provider - Skilled Nursing Facility 2365841749 Practice locations: Wilmington, DE

Skilled nursing facility certification: CCN 085004

Legal name
SPRINGS REHABILITATION AT BRANDYWINE LLC
Doing business as
CORAL SPRINGS REHEB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Nov 15, 2024
Beds
169
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 1, 2021 in DE
Enrollment address
505 Greenbank Rd
Wilmington, DE 19808-3164
Nursing home name
CORAL SPRINGS REHAB & HEALTHCARE
Affiliated entity
PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Coral Springs Rehab & HealthcareCCN 085004
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 - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
169152.0 residents per day on average
Chain
Prestige Healthcare Administrative Services15 facilities in the chain
Penalties (3 years)
3Fines totaling $99,184

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
08D0878022Coral Springs Rehab and Healthcare505 Greenbank Road, Wilmington, DE 19808Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Coral Springs LLC Organization, Wilmington, DE LLC 5% Or Greater Direct Ownership Interest May 13, 2021 100%
Moshe a Stern Individual 5% Or Greater Indirect Ownership Interest May 13, 2021 83.5%
De Noble Parentco LLC Organization, Brooklyn, NY LLC 5% Or Greater Indirect Ownership Interest May 13, 2021 14.7%
Srab Holdings LLC Organization, Howell, NJ LLC 5% Or Greater Indirect Ownership Interest May 13, 2021 85.3%
Tsahai Z. Shaw Individual Operational/Managerial Control Jan 1, 2026

Practitioners & affiliated clinicians

Practitioners 2

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": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1922689249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GREENBANK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083164",
            "telephone_number": "302-998-0101",
            "fax_number": "302-998-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GREENBANK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083164",
            "telephone_number": "302-998-0101",
            "fax_number": "302-998-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS REHABILITATION AT BRANDYWINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "848-249-7952"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Springs Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coral Springs Rehab and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.