NPIMap

Organization Active NPI

Versailles Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Versailles, OH
National Provider Identifier
1962988360
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VERSAILLES REHABILITATION AND HEALTHCARE CENTER LLC
Practice address
200 Marker Rd
Versailles, OH 45380-9494
Phone
(732) 372-9636
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Moshe Weintraub
Title
Coo
Phone
(732) 372-9636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

200 Marker Rd
Versailles, OH 45380-9494

Mailing address

14 Oliver St
Lakewood, NJ 08701-2339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181114002426 OH Part A Provider - Skilled Nursing Facility 8921352741 Practice locations: Versailles, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962988360. Details of each certification follow.

Skilled nursing facility certification: CCN 365900

Legal name
VERSAILLES REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
VERSAILLES REHABILITATION AND HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 6, 1993
Last certification
May 8, 2025
Beds
112
Ownership / control type
Corporation
Multi-facility organization
Crown Healthcare Group
Most recent change of ownership
Sep 20, 2018
Organization structure
LLC
Enrollment address
200 Marker Rd
Versailles, OH 45380-9494
Nursing home name
VERSAILLES REHABILITATION AND HEALTH CARE CENTER
Affiliated entity
CROWN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Versailles Rehabilitation and Health Care CenterCCN 365900 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 6, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11285.9 residents per day on average
Chain
Crown Healthcare Group9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

200 Marker Rd
Versailles, OH 45380
Phone (937) 526-5570

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Kevin Daubenmire Individual 5% Or Greater Indirect Ownership Interest Sep 20, 2018 25%
Limited Partnership Interest Sep 20, 2018 25%
Operational/Managerial Control Sep 20, 2018
Managing Control - Governing BodyManager of the Manager Sep 20, 2018
Adp of the SNF Sep 20, 2018
Individual Indirect Ownership Interest Sep 20, 2018 1.14%
Organization, Toms River, NJ LLC Adp of the SNF Jul 23, 2025
Organization, Toms River, NJ LLC Adp of the SNF Sep 20, 2018
Benjamin Shkop Individual 5% Or Greater Indirect Ownership Interest Sep 20, 2018 11.25%
Mrs Family Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 20, 2018 14.41%
Limited Partnership Interest Sep 20, 2018 21.53%
Adp of the SNF Sep 20, 2018
Robert L Hunter Individual Operational/Managerial Control Mar 17, 2025
Adp of the SNF Mar 17, 2025
Meir Singer Individual Limited Partnership Interest Sep 20, 2018 1.13%
Corporate OfficerPresident Nov 5, 2018
Yisrael Friedman Individual General Partnership Interest Sep 20, 2018 1.14%
Crown I TBD Holdco LLC Organization, Toms River, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Oct 9, 2021 100%
Organization, Toms River, NJ LLC Adp of the SNF Dec 16, 2022
Organization, Toms River, NJ LLC Adp of the SNF May 1, 2024
Jessica Mason Individual Operational/Managerial Control Sep 16, 2024
Adp of the SNF Sep 16, 2024
Mdatas Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 20, 2018 15.17%
Adp of the SNF Sep 20, 2018
Crown Ohio Holdco Inc Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 20, 2018 100%
Direct Ownership Interest Sep 20, 2018 100%
Organization, Toms River, NJ LLC Adp of the SNF Dec 1, 2024
Fejcc Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 20, 2018 14.41%
Adp of the SNF Sep 20, 2018
Capital Finance LLC Organization, Baltimore, MD LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Sep 20, 2018
Operational/Managerial Control Sep 20, 2018
Moshe Weintraub Individual 5% Or Greater Indirect Ownership Interest Sep 20, 2018 7%
Direct Ownership Interest Sep 20, 2018 15%

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 28

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

View all 28

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.

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": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1962988360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLIVER ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARKER RD",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453809494",
            "telephone_number": "732-372-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-372-9636"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, OH

Sources for this page

Verify at the official NPI Registry.