Active NPI
Ripley SNF Operations LLC
- Skilled Nursing Facility
- Ripley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIPLEY SNF OPERATIONS LLC
- Practice address
- 107 Miller Dr
Ripley, WV 25271-1133 - Phone
- (304) 372-5115
- NPI assigned
- Mar 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Lieberman
- Title
- Director of Financial Operations
- Phone
- (646) 275-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
107 Miller Dr
Ripley, WV 25271-1133
Mailing address
1007 Broadway FL 2
Woodmere, NY 11598-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210618002147 | WV | Part A Provider - Skilled Nursing Facility | 5496155095 | Practice locations: Ripley, WV |
Skilled nursing facility certification: CCN 515065
- Legal name
- RIPLEY SNF OPERATIONS LLC
- Doing business as
- MOUNTAIN VIEW CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1978
- Last certification
- Feb 26, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Hill Valley Healthcare
- Most recent change of ownership
- May 1, 2021
- Organization structure
- LLC
- Incorporated
- Jan 12, 2021 in DE
- Enrollment address
- 107 Miller Dr
Ripley, WV 25271-1133 - Nursing home name
- MOUNTAIN VIEW CARE CENTER
- Affiliated entity
- HILL VALLEY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mountain View Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1978
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Hill Valley Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2221100 | Ripley SNF Operations LLC | Certificate of waiver | Apr 18, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Greystone Loan Aggregator LLC | 5% Or Greater Mortgage Interest | May 1, 2021 | 100% |
| 5% Or Greater Security Interest | May 1, 2021 | 100% | |
| Sabrina 1818 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 12, 2021 | 45.27% |
| Bobbi Nichols | Operational/Managerial Control | May 1, 2021 | |
| Saessy Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Jan 12, 2021 | 43.05% |
| Todd Kimble | Corporate Officer | May 1, 2021 | |
| Greystone Bridge Funding IX | 5% Or Greater Mortgage Interest | May 1, 2021 | 100% |
| 5% Or Greater Security Interest | May 1, 2021 | 100% | |
| Ripley SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 12, 2021 | 100% |
| HVH WV Management LLC | Operational/Managerial Control | May 1, 2021 | |
| Tatiriq Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Jan 12, 2021 | 43.05% |
| Lion 26 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 12, 2021 | 45.27% |
| James Gaal | Operational/Managerial Control | May 1, 2021 | |
| Ripley Operations Manager LLC | Operational/Managerial Control | May 1, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Ripley, WV
- NPI 1023070703
Operational/Managerial Control
Facilities with the same owner 47
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Belington, WV
- NPI 1811670607
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Thomas, WV
- NPI 1396565453
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Glenville, WV
- NPI 1073290698
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Huntington, WV
- NPI 1447900550
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Bluefield, WV
- NPI 1952009979
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- New Martinsville, WV
- NPI 1285311803
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Alexandria, VA
- NPI 1346951761
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Amherst, VA
- NPI 1174297063
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Bedford, VA
- NPI 1508530387
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1881388510
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Stuart, VA
- NPI 1013478411
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Arlington, VA
- NPI 1700597127
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ripley, WV
- NPI 1023070703
-
- Internal Medicine Physician
- Ravenswood, WV
- NPI 1679534630
-
- Family Medicine Physician
- Belle, WV
- NPI 1235367335
-
- Internal Medicine Physician
- Ripley, WV
- NPI 1205899317
Affiliated clinicians 3
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": "1615334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1023693181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 BROADWAY FL 2",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MILLER DR",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711133",
"telephone_number": "304-372-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIPLEY SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
"authorized_official_telephone_number": "646-275-4510"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.