Organization Active NPI

Hampton SNF Operations LLC

Doing business as WaterView Health & Rehab Center

  • Skilled Nursing Facility
  • Hampton, VA
National Provider Identifier
1023611415
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAMPTON SNF OPERATIONS LLC
Doing business as
WaterView Health & Rehab Center
Practice address
414 Algonquin Rd
Hampton, VA 23661-1605
Phone
(757) 722-9881
NPI assigned
Nov 18, 2020
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Mr. Shimon Idels, LNHA
Title
Chief Operations Officer
Phone
(516) 855-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

414 Algonquin Rd
Hampton, VA 23661-1605

Mailing address

1195 Railroad Ave
Hewlett, NY 11557-2316
Phone (516) 855-5504

Other names 1

  • WaterView Health & Rehab Center Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1023611415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 RAILROAD AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572316",
            "telephone_number": "516-855-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611605",
            "telephone_number": "757-722-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "IDELS",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "516-855-5504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WaterView Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WaterView Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.