Active NPI
600 North Brush Opco LLC
- Skilled Nursing Facility
- Fremont, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 600 NORTH BRUSH OPCO LLC
- Practice address
- 600 N Brush St
Fremont, OH 43420-1402 - Phone
- (419) 334-9521
- NPI assigned
- Jun 17, 2024
- Last updated
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Friedman
- Title
- Manager
- Phone
- (327) 552-6035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
600 N Brush St
Fremont, OH 43420-1402
Mailing address
30100 Chagrin Blvd
Pepper Pike, OH 44124-5722
Phone (516) 545-0980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250502001825 | OH | Part A Provider - Skilled Nursing Facility | 2769909753 | Practice locations: Fremont, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932942984. Details of each certification follow.
Skilled nursing facility certification: CCN 365510
- Legal name
- 600 NORTH BRUSH OPCO LLC
- Doing business as
- BETHESDA CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1980
- Last certification
- May 30, 2024
- Beds
- 89
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 600 N Brush St
Fremont, OH 43420-1402 - Nursing home name
- BETHESDA CARE CENTER
- Affiliated entity
- GARDEN SPRINGS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bethesda Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1980
- Medicare certification status
- Active
- Certified beds
- 89
- Chain
- Garden Springs Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ilya Rafi Mahilnitski | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 15.3% |
| Operational/Managerial Control | Jun 20, 2024 | ||
| Kerry Tyler Neal | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
| Leba Friedman | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
| Hingj Inc. | Indirect Ownership Interest | Jun 20, 2024 | 1.5% |
| Yfr Equities LLC | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 5% |
| Adp of the SNF | Dec 12, 2024 | ||
| Meb Irrv TR | Indirect Ownership Interest | Jun 20, 2024 | 3.1% |
| Matis Mark Friedman | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 50% |
| Operational/Managerial Control | Jun 20, 2024 | ||
| Adp of the SNF | Jun 20, 2024 | ||
| John Calvin Both | Operational/Managerial Control | Jun 20, 2024 | |
| Adp of the SNF | Jun 20, 2024 | ||
| Eli Donenbaum | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
| Gary Wilson | Operational/Managerial Control | Jun 20, 2024 | |
| Adp of the SNF | Jun 20, 2024 | ||
| Jennifer Strauss | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
| Gitty Friedman | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
| Alyssa Barenbaum | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 2% |
| Oheads Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 20, 2024 | 100% |
| Rap 118 LLC | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 15% |
| Adp of the SNF | Jun 20, 2024 | ||
| Adp of the SNF | Jun 20, 2024 | ||
| Devora Friedman | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Maumee, OH
- NPI 1760489322
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Tiffin, OH
- NPI 1891539623
Oheads Opco Holdings LLC, Rap 118 LLC, Yfr Equities LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Fremont, OH
- NPI 1821085952
-
- Internal Medicine Physician
- Sylvania, OH
- NPI 1336609452
Affiliated clinicians 2
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": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1932942984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30100 CHAGRIN BLVD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441245722",
"telephone_number": "516-545-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N BRUSH ST",
"city": "FREMONT",
"state": "OH",
"postal_code": "434201402",
"telephone_number": "419-334-9521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "600 NORTH BRUSH OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "327-552-6035"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.