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High
OpenScore 170

S & L BIRCHWOOD LLC

Doing business as APEX REHABILITATION & CARE CENTER

Flagged provider address

78 BIRCHWOOD DR, HUNTINGTON STATION, NY, 11746-3922

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Why this was flagged

High
Billing far above peers

Medicare paid this provider far more than its peers

In 2022 Medicare paid this provider $11,844,478, against a typical payment of $1,194,891 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.

Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

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Info
Owner cluster

Owner is tied to 8 providers

An owner or managing party of this provider (ZALMEN LEO OBERLANDER) is listed on 8 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

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Owners and managing parties of record

ZALMEN LEO OBERLANDER

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Feb 16, 2007

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DAVID EFROYMSON

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 1, 2016

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameS & L BIRCHWOOD LLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameAPEX REHABILITATION & CARE CENTERCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1841322435CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number335067CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID1759472426CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeLLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Incorporation date2005-11-19CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
State of incorporationNYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address78 BIRCHWOOD DRCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityHUNTINGTON STATIONCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateNYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP11746-3922CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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