NPIMap

Organization Active NPI

Silver Creek Manor SNF LLC

  • Skilled Nursing Facility
  • Bristol, RI
National Provider Identifier
1972198661
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SILVER CREEK MANOR SNF LLC
Practice address
7 Creek LN
Bristol, RI 02809-2401
Phone
(347) 254-4338
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mr. Aharon Stern
Title
Member
Phone
(347) 254-4338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7 Creek LN
Bristol, RI 02809-2401

Mailing address

7 Creek LN
Bristol, RI 02809-2401
Phone (347) 254-4338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210330000192 RI Part A Provider - Skilled Nursing Facility 4082021563 Practice locations: Bristol, RI

Skilled nursing facility certification: CCN 415031

Legal name
SILVER CREEK MANOR SNF LLC
Doing business as
SILVER CREEK REHAB AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 13, 1971
Last certification
Oct 31, 2024
Beds
128
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Greentree Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 2, 2020 in RI
Enrollment address
7 Creek LN
Bristol, RI 02809-2401
Nursing home name
SILVER CREEK REHAB AND HEALTHCARE CENTER
Affiliated entity
GREEN TREE HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Silver Creek Rehab and Healthcare CenterCCN 415031
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 13, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128114.0 residents per day on average
Chain
Green Tree Healthcare Management4 facilities in the chain
Penalties (3 years)
4Fines totaling $207,610

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Gri SNF Investors LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 4, 2020 17.5%
Naresh K Dasari Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 24, 2025
Rhode Island Healthcare Holdco 1 LLC Organization, Bristol, RI Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 3, 2020 100%
MRI SNF Investors LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 4, 2020 17.5%
Nathan Blundo Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Apr 9, 2025
Aharon Stern Individual 5% Or Greater Indirect Ownership InterestManager and Principal Nov 2, 2020 29.5%
Operational/Managerial ControlManager and Principal Apr 1, 2021 100%
Adp of the SNF Apr 1, 2021
Dasay 2019 Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Apr 1, 2021 96%
Simon J Stern Individual 5% Or Greater Indirect Ownership InterestPresident/Ceo Nov 2, 2020 29.5%
Corporate OfficerPresident/Ceo Nov 2, 2020 100%
Operational/Managerial ControlPresident/Ceo Apr 1, 2021 100%
Adp of the SNF Apr 1, 2021
Gamta 2020 Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Apr 1, 2021 96%

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 5

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

Practitioners & affiliated clinicians

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": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1972198661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CREEK LN",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092401",
            "telephone_number": "347-254-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CREEK LN",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092401",
            "telephone_number": "347-254-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK MANOR SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-254-4338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.