Cooper River Garden Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COOPER RIVER GARDEN GROUP LLC

Doing business as

River Front Rehabilitation & Healthcare Center

Practice address

5101 N Park Dr
Pennsauken, NJ 08109-4643

Phone

(856) 665-8844

NPI assigned

Jul 14, 2022

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shimmy Liebes

Title

Director of Ar

Phone

(443) 563-8444

Specialties & licenses 1

Addresses

Other names 1

• River Front Rehabilitation & Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942934963. Details of each certification follow.

• CCN 315225 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315225

Legal name

COOPER RIVER GARDEN GROUP LLC

Doing business as

RIVER FRONT REHABILITATION & HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 13, 1986

Last certification

Aug 14, 2024

Beds

180

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 1, 2022 in NJ

Enrollment address

5101 N Park Dr
Pennsauken, NJ 08109-4643

Nursing home name

RIVER FRONT REHABILITATION AND HEALTHCARE CENTER

Affiliated entity

EXCELSIOR CARE GROUP

Listed as

River Front Rehabilitation and Healthcare CenterCCN 315225 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 13, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180153.4 residents per day on average

Chain

Excelsior Care Group33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Cooper Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cooper Care LLC

  • Skilled Nursing Facility
  • Pennsauken, NJ
  • NPI 1386116721
  NPD tax ID

All disclosed owners & managing parties 6

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

Practitioners 1

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.

• Imran A Mirza, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Deptford, NJ
  • NPI 1376573204
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Te Du, MD

  • Hospitalist Physician
  • Camden, NJ
  • NPI 1295263580

  Nursing home

  Care Compare affiliation
• Imran A Mirza, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Deptford, NJ
  • NPI 1376573204

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1942934963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N PARK DR",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094643",
            "telephone_number": "856-665-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER RIVER GARDEN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LIEBES",
        "authorized_official_first_name": "SHIMMY",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "443-563-8444"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Front Rehabilitation & Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Front Rehabilitation & Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John T Connelly Jr., PH.D.LPC.LRC
• Russell Cook Jr.
• Cooper Care LLC
• Cooper House Women's Recovery Program
• Cooper River Eye Associates
• Reagan E Copeland, LCSW
• Lois A Corbi, PT
• Michael Patrick Cornely, D.C.
• Amanda Cortes
• Ashley Coston

• Skilled Nursing Facility in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.