Active NPI
Deer Park Health and Rehabilitation SNF LLC
- Skilled Nursing Facility
- Nebo, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DEER PARK HEALTH AND REHABILITATION SNF LLC
- Practice address
- 306 Deer Park Rd
Nebo, NC 28761-8746 - Phone
- (828) 652-3032
- NPI assigned
- Dec 8, 2021
- Last updated
- Apr 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Fischer
- Title
- Coo
- Phone
- (828) 756-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
306 Deer Park Rd
Nebo, NC 28761-8746
Mailing address
8 Melissa Lee Dr
Jackson, NJ 08527-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220602000123 | NC | Part A Provider - Skilled Nursing Facility | 9830577956 | Practice locations: Nebo, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972261808. Details of each certification follow.
Skilled nursing facility certification: CCN 345233
- Legal name
- DEER PARK HEALTH AND REHABILITATION SNF LLC
- Doing business as
- DEER PARK HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 3, 1983
- Last certification
- Apr 25, 2024
- Beds
- 140
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Brighton Healthcare
- Organization structure
- LLC
- Incorporated
- Dec 9, 2021 in NJ
- Enrollment address
- 306 Deer Park Rd
Nebo, NC 28761-8746 - Nursing home name
- DEER PARK HEALTH AND REHABILITATION
- Affiliated entity
- BRIGHTON HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Deer Park Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 3, 1983
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Brighton Healthcare
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 5
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2011185 | Deer Park Health & Rehabilitation | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Etnc Holdings LLC | Direct Ownership Interest | Jun 11, 2025 | 4.11% |
| Cynthia Treff | 5% Or Greater Indirect Ownership Interest | Jun 11, 2025 | 38.39% |
| Adp of the SNF | Mar 4, 2022 | ||
| Brand Sonnenschine LLP | Adp of the SNF | Mar 4, 2022 | |
| Melissa Cook | Operational/Managerial Control | Mar 5, 2024 | |
| Adp of the SNF | Mar 5, 2024 | ||
| 306 Deer Park Road LLC | 5% Or Greater Mortgage Interest | Mar 4, 2022 | 100% |
| Adp of the SNF | Mar 4, 2022 | ||
| Zev Lefkowitz | 5% Or Greater Direct Ownership Interest | Mar 4, 2022 | 28.75% |
| Managing Control - Governing Body | Mar 4, 2022 | ||
| Adp of the SNF | Mar 4, 2022 | ||
| Esther Treff | Indirect Ownership Interest | Jun 11, 2025 | 4.11% |
| Brighton Management LLC | Adp of the SNF | Mar 4, 2022 | |
| CTNC Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 11, 2025 | 38.39% |
| Adp of the SNF | Mar 4, 2022 | ||
| Timothy J Turbett | Adp of the SNF | Jun 13, 2023 | |
| Forvis Mazars LLP | Adp of the SNF | Mar 4, 2022 | |
| David Fischer | 5% Or Greater Direct Ownership Interest | Mar 4, 2022 | 28.75% |
| Operational/Managerial Control | Mar 4, 2022 | ||
| Managing Control - Governing Body | Mar 4, 2022 | ||
| Adp of the SNF | Mar 4, 2022 | ||
| Adp of the SNF | Jul 10, 2025 |
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 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Burnsville, NC
- NPI 1558029488
CTNC Holdings LLC
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.
-
- Family Medicine Physician
- Morganton, NC
- NPI 1316988058
-
- Family Medicine Physician
- Boone, NC
- NPI 1407917867
Affiliated clinicians 2
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": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1972261808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MELISSA LEE DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 DEER PARK RD",
"city": "NEBO",
"state": "NC",
"postal_code": "287618746",
"telephone_number": "828-652-3032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEER PARK HEALTH AND REHABILITATION SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "828-756-3600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nebo, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.