Organization Active NPI

Laurel Square Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1972966422
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
131302 Issued in PA
Legal business name
LAUREL SQUARE HEALTHCARE AND REHABILITATION CENTER LLC
Practice address
1020 Oak Lane Ave
Philadelphia, PA 19126-3340
Phone
(732) 262-2255
Fax
(732) 262-3332
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Ben Friedman
Title
Controller
Phone
(732) 262-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 131302 PA Primary

Addresses

Primary practice location

1020 Oak Lane Ave
Philadelphia, PA 19126-3340

Mailing address

260 Chambers Bridge Rd
Brick, NJ 08723-2809
Phone (732) 262-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812001289 PA Part A Provider - Skilled Nursing Facility 4486947199 Practice locations: Philadelphia, PA

Skilled nursing facility certification: CCN 395535

Legal name
LAUREL SQUARE HEALTHCARE AND REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 21, 1982
Last certification
Sep 12, 2024
Beds
87
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Nationwide Healthcare
Organization structure
LLCProprietary
Incorporated
Oct 8, 2015 in PA
Enrollment address
1020 Oak Lane Avenue
Philadelphia, PA 19126-3340
Nursing home name
LAUREL SQUARE HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
NATIONWIDE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurel Square Healthcare and Rehabilitation CenterCCN 395535
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
Jun 21, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8782.9 residents per day on average
Chain
Nationwide Healthcare Services7 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
39D2165226Laurel Square Healthcare & Rehabilitation Center1020 Oak Lane Ave, Philadelphia, PA 19126Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Nationwide Healthcare Services Organization, Brick, NJ Management services company Operational/Managerial Control Oct 8, 2015
Sheldon Braun Individual 5% Or Greater Direct Ownership Interest Oct 8, 2015 5%
Operational/Managerial ControlChief Financial Officer & Member Oct 8, 2015 5%
OtherChief Financial Officer & Member Oct 8, 2015 5%
Meir Gelley Individual 5% Or Greater Direct Ownership Interest Oct 8, 2015 90%
OtherManaging Member Oct 8, 2015 90%
Leah Gelley Individual 5% Or Greater Indirect Ownership Interest Oct 8, 2015 5%
OtherMember Oct 8, 2015 5%

Facilities with the same owner 2

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

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 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": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1972966422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CHAMBERS BRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232809",
            "telephone_number": "732-262-2255",
            "fax_number": "732-262-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 OAK LANE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263340",
            "telephone_number": "732-262-2255",
            "fax_number": "732-262-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL SQUARE HEALTHCARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-262-2255"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "131302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.