Organization Active NPI

Blue Ridge SNF Operations LLC

Doing business as Blue Ridge Therapy Connection

  • Skilled Nursing Facility
  • Stuart, VA
National Provider Identifier
1013478411
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLUE RIDGE SNF OPERATIONS LLC
Doing business as
Blue Ridge Therapy Connection
Practice address
105 Landmark Dr
Stuart, VA 24171-9401
Phone
(276) 694-4230
NPI assigned
Mar 28, 2019
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Shimmy Idels
Title
Coo
Phone
(917) 565-7391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

105 Landmark Dr
Stuart, VA 24171-9401

Mailing address

7523 Main St # 39
Flushing, NY 11367-7652

Other names 1

  • Blue Ridge Therapy Connection Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190904002498 VA Part A Provider - Skilled Nursing Facility 7012246861 Practice locations: Stuart, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013478411. Details of each certification follow.

Skilled nursing facility certification: CCN 495306

Legal name
BLUE RIDGE SNF OPERATIONS LLC
Doing business as
BLUE RIDGE THERAPY CONNECTION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1996
Last certification
Feb 29, 2024
Beds
190
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
in VA
Enrollment address
105 Landmark Dr
Stuart, VA 24171-9401
Nursing home name
BLUE RIDGE THERAPY CONNECTION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Blue Ridge Therapy ConnectionCCN 495306 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
190157.8 residents per day on average
Chain
Hill Valley Healthcare43 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
49D0232064Blue Ridge SNF Operations LLC105 Landmark Drive, Stuart, VA 24171Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2019 46.2%
Saessy Irrevocable Trust Organization, Far Rockaway, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2019 45.2%
Michael Greeley Individual W-2 Managing EmployeeAdmin Jul 1, 2019
Joseph E Lieberman Individual Corporate Officer Jul 1, 2019 47.5%
Steven a Schwartz Individual Corporate OfficerCfo Jul 1, 2019 47.5%
Shimon Idels Individual Corporate OfficerCoo Jul 1, 2019 5%
Landmark Operations Holdings LLC Organization, Flushing, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
HVH Landmark Management LLC Organization, Flushing, NY LLC, For-profit Operational/Managerial Control Jul 1, 2019 100%
Delilah 2626 Holdings LLC Organization, Flushing, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2019 5%
VNB New York LLC Organization, New York, NY LLC 5% Or Greater Security Interest Jul 1, 2019
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2019 43.9%
Lion 26 Holdings LLC Organization, Flushing, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2019 47.5%

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1013478411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 MAIN ST # 39",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113677652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LANDMARK DR",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241719401",
            "telephone_number": "276-694-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "IDELS",
        "authorized_official_first_name": "SHIMMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "917-565-7391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Therapy Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

Verify at the official NPI Registry.