Hendersonville NC Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HENDERSONVILLE NC OPCO LLC

Practice address

200 Heritage Cir
Hendersonville, NC 28791-0713

Phone

(828) 693-5849

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Israel Friedman

Title

Coo

Phone

(845) 825-0449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063283125. Details of each certification follow.

• CCN 345285 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345285

Legal name

HENDERSONVILLE NC OPCO LLC

Doing business as

ORCHARD VALLEY HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 30, 1988

Last certification

Dec 6, 2024

Beds

134

Ownership / control type

Corporation

Multi-facility organization

Ascent Healthcare Managment

Organization structure

LLCProprietary

Incorporated

Nov 1, 2022 in NC

Enrollment address

200 Heritage Cir
Hendersonville, NC 28791-0713

Nursing home name

ORCHARD VALLEY HEALTH AND REHABILITATION

Affiliated entity

ASCENT HEALTHCARE MANAGEMENT

Listed as

Orchard Valley Health and RehabilitationCCN 345285 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 30, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

134101.0 residents per day on average

Chain

Ascent Healthcare Management6 facilities in the chain

Penalties (3 years)

1Fines totaling $16,452

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Albert Shederick Ford Jr., MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Hendersonville, NC
  • NPI 1558369462

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Asheville US Seventy NC Opco LLC

  • Skilled Nursing Facility
  • Swannanoa, NC
  • NPI 1528839685

  Pisgah Holdco LLC

  CMS ownership
• Asheville Victoria NC Opco LLC

  • Skilled Nursing Facility
  • Asheville, NC
  • NPI 1467223529

  Pisgah Holdco LLC

  CMS ownership
• Rutherfordton NC Opco LLC

  • Skilled Nursing Facility
  • Rutherfordton, NC
  • NPI 1881465953

  Pisgah Holdco LLC

  CMS ownership

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.

• Albert Shederick Ford Jr., MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Hendersonville, NC
  • NPI 1558369462
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sheikh Ahmed Tejan-Sie, MD

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1346237617

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1063283125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287910713",
            "telephone_number": "828-693-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE NC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "845-825-0449"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.