NPIMap

Organization Active NPI

Holmdel Garden Group LLC

  • Skilled Nursing Facility
  • Hazlet, NJ
National Provider Identifier
1972194702
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOLMDEL GARDEN GROUP LLC
Practice address
622 Laurel Ave
Hazlet, NJ 07730-2681
Phone
(732) 787-6300
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Sam Stern
Title
Cfo
Phone
(877) 567-0402

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

622 Laurel Ave
Hazlet, NJ 07730-2681

Mailing address

14C 53Rd St
Brooklyn, NY 11232-2644
Phone (877) 567-0402

Other names 1

  • Arnold Walter Nursing & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624002597 NJ Part A Provider - Skilled Nursing Facility 9436550696 Practice locations: Hazlet, NJ

Skilled nursing facility certification: CCN 315119

Legal name
HOLMDEL GARDEN GROUP LLC
Doing business as
ARNOLD WALTER NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 2, 1975
Last certification
Jan 24, 2025
Beds
202
Ownership / control type
Partnership
Organization structure
LLCProprietary
Incorporated
Aug 20, 2020 in NJ
Enrollment address
622 Laurel Ave
Hazlet, NJ 07730-2681
Nursing home name
ARNOLD WALTER NURSING & REHABILITATION CENTER
Affiliated entity
EXCELSIOR CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arnold Walter Nursing & Rehabilitation CenterCCN 315119
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Oct 2, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
202172.0 residents per day on average
Chain
Excelsior Care Group33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2192245Arnold Walter Nursing & Rehabilitation622 S Laurel Ave, Hazlet, NJ 07730Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
JM and Mazel LLC Organization, Brooklyn, NY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2026 9.9%
Adp of the SNF Jan 1, 2026
Moshe Steinberg Individual Operational/Managerial Control Jul 12, 2019
Adp of the SNF Jul 12, 2019
Gitberk LLC Organization, Brooklyn, NY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2026 9.9%
Adp of the SNF Jan 1, 2026
Samuel Stern Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Sam Berkowitz Individual 5% Or Greater Direct Ownership InterestMember Feb 1, 2021 29%
Managing Control - Governing BodyMember Feb 1, 2021
Adp of the SNF Jan 1, 2026
Susan R. Springberg Individual 5% Or Greater Direct Ownership InterestMember Feb 1, 2021 20%
Adp of the SNF Jan 1, 2026
Kamran Tasharofi Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Yitzchok Ribiat Individual Operational/Managerial Control Mar 12, 2024
Adp of the SNF Mar 12, 2024
Excelsior Care Group Organization, Brooklyn, NY LLC Operational/Managerial Control Jul 21, 2019
Adp of the SNF Dec 25, 2025
Joel Zupnick Individual 5% Or Greater Direct Ownership InterestMember Feb 1, 2021 21.3%
Adp of the SNF Jan 1, 2026
JBL 120 LLC Organization, Brooklyn, NY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2026 9.9%
Adp of the SNF Jan 1, 2026
Sarah Atia Mahadeo Individual Operational/Managerial Control Nov 19, 2024
Adp of the SNF Nov 19, 2024

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 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1972194702",
    "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",
            "telephone_number": "877-567-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 LAUREL AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302681",
            "telephone_number": "732-787-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL GARDEN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnold Walter Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.