NPIMap

Organization Active NPI

Split Rock Rehabilitation & Health Care Center, LLC

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1952464950
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
207RG0300X Issued in NY
Legal business name
SPLIT ROCK REHABILITATION & HEALTH CARE CENTER, LLC
Practice address
3525 Baychester Ave
Bronx, NY 10466-5001
Phone
(718) 798-8900
Fax
(718) 231-5349
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Mr. Aj Weiss
Title
Controller
Phone
(718) 670-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 207RG0300X NY Primary

Addresses

Primary practice location

3525 Baychester Ave
Bronx, NY 10466-5001

Mailing address

3525 Baychester Ave
Bronx, NY 10466-5001
Phone (718) 798-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000559 NY Part A Provider - Skilled Nursing Facility 5092622795 Practice locations: Bronx, NY

Skilled nursing facility certification: CCN 335321

Legal name
SPLIT ROCK REHABILITATION & HEALTH CARE CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 5, 1971
Last certification
Sep 10, 2024
Beds
240
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 13, 2002 in NY
Enrollment address
3525 Baychester Ave
Bronx, NY 10466-5001
Nursing home name
SPLIT ROCK REHABILITATION AND HEALTH CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Split Rock Rehabilitation and Health Care CenterCCN 335321
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 5, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240221.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Split Rock Rehabilitation Health Care Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Aharon Weiss Individual Corporate OfficerCfo Jan 1, 2012
Boruch Webster Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 16%
Marilyn L Reiter Individual W-2 Managing EmployeeAdministrator Jan 1, 2011 100%
Naftali Fasten Individual Corporate OfficerVP Jan 1, 2022
Yecheskel Webster Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 18.5%
Helen Webster Individual 5% Or Greater Direct Ownership InterestCeo Feb 13, 2009 43.5%
Corporate DirectorCeo Feb 13, 2009 100%
Moshe Webster Individual 5% Or Greater Direct Ownership InterestMember Feb 13, 2009 22%

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1952464950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-798-8900",
            "fax_number": "718-231-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-798-8900",
            "fax_number": "718-231-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLIT ROCK REHABILITATION & HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "AJ",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-670-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "207RG0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.