Organization Active NPI

Martin Manor Operations, LLC

  • Skilled Nursing Facility
  • Inez, KY
National Provider Identifier
1962954529
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARTIN MANOR OPERATIONS, LLC
Practice address
62 Maude Rd.
Inez, KY 41224
Phone
(859) 623-0898
NPI assigned
Oct 31, 2016
Last updated
Jun 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Benjamin Landa
Title
Managing Member
Phone
(516) 869-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

62 Maude Rd.
Inez, KY 41224

Mailing address

300 Provider CT
Richmond, KY 40475-8488
Phone (859) 623-0898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170428001952 KY Part A Provider - Skilled Nursing Facility 8426335423 Practice locations: Inez, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962954529. Details of each certification follow.

Skilled nursing facility certification: CCN 185379

Legal name
MARTIN MANOR OPERATIONS LLC
Doing business as
MARTIN COUNTY HEALTH CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 14, 1993
Last certification
Jan 6, 2023
Beds
65
Ownership / control type
Partnership
Multi-facility organization
Blue Grass Health Partners
Organization structure
LLCProprietary
Incorporated
Aug 26, 2016 in KY
Enrollment address
62 Maude Rd
Inez, KY 41224-9124
Nursing home name
MARTIN COUNTY HEALTH CARE FACILITY
Affiliated entity
BLUEGRASS HEALTH KY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Martin County Health Care FacilityCCN 185379 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jun 14, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6559.7 residents per day on average
Chain
Bluegrass Health Ky15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Martin Manor 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.

Ownership & related parties

All disclosed owners & managing parties 39

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

NameRoleSinceShare
Miriam Zupnick Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 3.09%
Individual Adp of the SNF Jan 1, 2022
Mayer Fischel Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 10.25%
Corporate OfficerCfo Nov 1, 2016 100%
Operational/Managerial ControlCfo Valley Stream Operator I LLC Nov 1, 2016
Adp of the SNF Nov 1, 2016
Cheskel David Berkowitz Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 4.67%
Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Jan 1, 2022
Ky 90 Equities LLC Organization, Richmond, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 3.79%
Adp of the SNF Jan 1, 2023
Leah Friedman Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 0.95%
Martin Manor Realty LLC Organization, Inez, KY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2016 46%
Adp of the SNF Nov 1, 2016
Individual Adp of the SNF Nov 1, 2016
Organization, Monsey, NY LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2023 4.75%
Individual Adp of the SNF Nov 1, 2016
Charles Zahler Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 0.95%
Joel Edelstein Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 2.85%
Valley Stream Operator I LLC Organization, Richmond, KY LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Nov 1, 2016
Adp of the SNF Apr 10, 2025
Individual Adp of the SNF Nov 1, 2016
Greystone Servicing Company, LLC, a Delaware Limited Liability Company Organization, Warrenton, VA LLC, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Aug 28, 2019 46%
Rochel David Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 0.95%
Chaya Zahler Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 0.48%
Organization, Richmond, KY LLC Adp of the SNF Apr 10, 2025
Individual Adp of the SNF Nov 1, 2016
ZF Realty LLC Organization, Monsey, NY LLC Adp of the SNF Jan 1, 2023
Katherine Carias Individual Adp of the SNF Jan 1, 2020
Tova L Fuchs Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 2.85%
Organization, Russellville, KY LLC Adp of the SNF Apr 10, 2025
Joshua Farkovits Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 4.75%
Eli Grinspan Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 15.25%
Corporate OfficerCoo Nov 1, 2016 100%
Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016
Individual Adp of the SNF Nov 1, 2016
Joel Zupnick Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 4.67%
Adp of the SNF Jan 1, 2023
Ky Equity Partners LLC Organization, Brooklyn, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 20.9%
Adp of the SNF Jan 1, 2023
Benjamin Landa Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 29.85%
Adp of the SNF Jan 1, 2023
Gerald B Fuchs Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 2.85%
Joel Leifer Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 4.67%
Adp of the SNF Jan 1, 2023
Bernard Fuchs Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 2.85%
David Zahler Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 0.48%
Deborah Fitzpatrick Individual Adp of the SNF Mar 5, 2018
Israel D Freund Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 2.85%
Kennedy Ky Holdings LLC Organization, Lawrence, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 14.25%
Adp of the SNF Jan 1, 2023
Jacob J Zahler Individual Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 0.95%
Jessica Workman Individual Operational/Managerial Control May 4, 2022
Adp of the SNF May 4, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

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.

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": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1962954529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758488",
            "telephone_number": "859-623-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MAUDE RD.",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "41224",
            "telephone_number": "859-623-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN MANOR OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inez, KY

Sources for this page

Verify at the official NPI Registry.