Palmer Avenue SNF Operations LLC
Organization Active NPI Skilled Nursing Facility · Mamaroneck, NY
NPI 1922804301 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1922804301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- PALMER AVENUE SNF OPERATIONS LLC
- Practice address
- 845 Palmer Ave
Mamaroneck, NY 10543-2406 - Phone
- (914) 698-6005
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Solomon Klein
- Title
- Manager
- Phone
- (347) 909-1811
Owners & managing parties with NPI records 1
-
Gayatri Gupta, MD
Facilities with the same owner 1
Practitioners 4
-
Saba Abolahrari, M.D.
-
Gayatri Gupta, MD
-
Zev Lati, MD
-
Ye Wang, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0669390 | Sarah Neuman Center for Rehabilitation | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Skilled nursing facility certification: CCN 335296001
- Legal name
- PALMER AVENUE SNF OPERATIONS LLC
- Doing business as
- SARAH NEUMAN CENTER FOR REHABILITATION AND NURSING
- Organization structure
- LLC · Proprietary
- Enrollment address
- 845 Palmer Ave
Mamaroneck, NY 10543-2406 - Nursing home name
- SARAH NEUMAN CENTER FOR REHABILITATION AND NURSING
- Affiliated entity
- INFINITE CARE
All disclosed owners & managing parties 28
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Aug 4, 2025 | |
| Palmer Avenue SNF Operations Holdings LLC |
5% Or Greater Direct Ownership Interest | Aug 4, 2025 | 100% |
| |
Adp of the SNF | Aug 4, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Kathryn E Perez |
5% Or Greater Indirect Ownership Interest | Aug 4, 2025 | 5% |
| Adp of the SNF | Aug 4, 2025 | ||
| 845 Palmer Avenue Realty LLC |
Adp of the SNF | Aug 4, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Tara Hogan |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Jared Berkowitz |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 4, 2025 | ||
| |
Adp of the SNF | Aug 21, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Mirelle Marcucci |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 4, 2025 | ||
| |
Adp of the SNF | Aug 4, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Tamara Hynes |
Adp of the SNF | Aug 4, 2025 | |
| Myitcrew Inc |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 19, 2025 | ||
| |
Adp of the SNF | Aug 4, 2025 | |
| Laurence Abrams |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 4, 2025 | ||
| National Datacare LLC |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 19, 2025 | ||
| Chava Wolofsky |
Adp of the SNF | Aug 4, 2025 | |
| |
Adp of the SNF | Aug 4, 2025 | |
| Zunta LLC |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 19, 2025 | ||
| Esther Klein |
5% Or Greater Indirect Ownership Interest | Aug 4, 2025 | 95% |
| Adp of the SNF | Aug 4, 2025 | ||
| Seam Ny 2020 Trust |
Adp of the SNF | Aug 4, 2025 | |
| Streamline Verify LLC |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 19, 2025 | ||
| |
Adp of the SNF | Aug 4, 2025 | |
| Gayatri Gupta |
Operational/Managerial Control | Aug 4, 2025 | |
| Adp of the SNF | Aug 4, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251027001913 | NY | Part a Provider - Skilled Nursing Facility | 1355830803 | Practice locations: Mamaroneck, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
845 Palmer Ave
Mamaroneck, NY 10543-2406
Mailing address
845 Palmer Ave
Mamaroneck, NY 10543-2406
Other names
- Sarah Neuman Center for Rehabilitation and Nursing
Other providers in Mamaroneck, NY
- Rosario Ortega
- Venus D. Osorio
- Joy Overzat
- Alfonzo Benjamin Owens III
- Ashanti Palma
- Steven Walden Pappas
- Katherine Paradis
- Skye Gabrielle Parillon
- Alyssa Parinello
- Christine Carol Parra
All providers in Mamaroneck, NY · Skilled Nursing Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. 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.