Derry Rehabilitation and Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DERRY REHABILITATION AND NURSING CENTER LLC

Practice address

20 Chester Rd
Derry, NH 03038-1636

Phone

(603) 432-3801

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By 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

Akiva Horowitz

Title

Managing Member

Phone

(718) 974-0266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942965520. Details of each certification follow.

• CCN 305095 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 305095

Legal name

DERRY REHABILITATION AND NURSING CENTER LLC

Doing business as

DERRY REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 18, 2003

Last certification

Oct 16, 2024

Beds

62

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Aug 22, 2021 in NH

Enrollment address

20 Chester Rd
Derry, NH 03038-1636

Nursing home name

DERRY CENTER FOR REHABILITATION AND HEALTHCARE

Affiliated entity

EPHRAM LAHASKY

Listed as

Derry Center for Rehabilitation and HealthcareCCN 305095 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jul 18, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6254.9 residents per day on average

Chain

Ephram Lahasky22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Akindele Majekodunmi, M.D., M.B.A

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1447411764

  Adp of the SNF, Operational/Managerial Control

  CMS 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.

• Akindele Majekodunmi, M.D., M.B.A

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1447411764
  NPD (past)

Affiliated clinicians 1

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

• Akindele Majekodunmi, M.D., M.B.A

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1447411764

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1942965520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHESTER RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHESTER RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381636",
            "telephone_number": "603-432-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRY REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-974-0266"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derry Joint & Spine Center PC
• Derry Medical Center (DMC Imaging Center)
• Derry Medical Center, PA
• Derry Neurological Associates, PC
• Derry Pediatrics
• Derry Sports & Rehab, LLC
• Derry Surgery Center LP
• Derry Surgical Center, LLC (Surgical Center of New Hampshire at Derry)
• Karen M Desmarais, LCMHC
• Kate Lynn Desmond, BCBA

• Skilled Nursing Facility in Derry, NH
• Providers in Derry, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.