Skyview Springs SNF Operations LLC
Organization Active NPI Skilled Nursing Facility · Luray, VA
NPI 1003497355 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1003497355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- SKYVIEW SPRINGS SNF OPERATIONS LLC
- Practice address
- 30 Montvue Dr
Luray, VA 22835-1057 - Phone
- (540) 743-4573
- NPI assigned
- Apr 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Joseph Lieberman
- Title
- Director of Financial Operations
- Phone
- (646) 275-4510
Facilities with the same owner 47
Affiliated clinicians 1
-
Mustafa Rikabi, MD
Medicare Care Compare: Nursing home
- Listed as
- Skyview Springs Rehab and Nursing Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 16, 1991
- Medicare certification status
- Active
- Certified beds
- 120 · 110.9 residents per day on average
- Chain
- Hill Valley Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0894545 | Skyview Springs SNF Operations LLC | Certificate of waiver | Nov 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495255
- Legal name
- SKYVIEW SPRINGS SNF OPERATIONS LLC
- Doing business as
- SKYVIEW SPRINGS REHAB AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 16, 1991
- Last certification
- Nov 2, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Hill Valley Healthcare
- Most recent change of ownership
- Jun 1, 2021
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 31, 2021 in VA
- Enrollment address
- 30 Montvue Dr
Luray, VA 22835-1057 - Nursing home name
- SKYVIEW SPRINGS REHAB AND NURSING CENTER
- Affiliated entity
- HILL VALLEY HEALTHCARE
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Silver VA Trust |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 17.5% |
| Skyview Springs Holdings LLC |
5% Or Greater Direct Ownership Interest | Mar 31, 2021 | 100% |
| Sabrina 1818 Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 23.75% |
| Luray Operations Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 100% |
| Saessy Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 22.59% |
| Eva Miller |
W-2 Managing Employee |
Jun 1, 2021 | 100% |
| HVH Luray Operations Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 50% |
| Gold VA Trust |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 17.5% |
| VA Noble Parentco LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 50% |
| Shimon Idels |
Corporate Officer | Dec 1, 2022 | |
| Copper VA Trust |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 10% |
| Tatiriq Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 22.59% |
| Lion 26 Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2021 | 23.75% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210827003086 | VA | Part a Provider - Skilled Nursing Facility | 9032514047 | Practice locations: Luray, VA |
National Provider Directory
Locations
1007 Broadway
Fl 2
Woodmere, NY 11598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
30 Montvue Dr
Luray, VA 22835-1057
Mailing address
1007 Broadway FL 2
Woodmere, NY 11598-1246
Phone (516) 855-5504
Other names
- Skyview Springs Rehab and Nursing Center
Other providers in Luray, VA
- Donna M Sefczek
- Robert J. Sefczek
- Frances Kathleen Sessler
- Kenesha Ann Vanessa Shave
- Shenandoah Valley Care, Inc.
- Janyce Leanne Sletten
- Emily Catherine Speaks
- Patrick Earle Sprague
- Laura Britton Stace
- Sharon Starr Surratt
All providers in Luray, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.