NPIMap

Organization Active NPI

Glenville SNF Operations LLC

Doing business as Glenville Health & Rehabilitation

  • Skilled Nursing Facility
  • Glenville, WV
National Provider Identifier
1073290698
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLENVILLE SNF OPERATIONS LLC
Doing business as
Glenville Health & Rehabilitation
Practice address
111 Fairground Rd
Glenville, WV 26351-1388
Phone
(304) 462-5718
NPI assigned
Jul 5, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

111 Fairground Rd
Glenville, WV 26351-1388

Mailing address

111 Fairground Rd
Glenville, WV 26351-1388
Phone (304) 462-5718

Other names 1

  • Glenville Health & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002002844 WV Part A Provider - Skilled Nursing Facility 9931553476 Practice locations: Glenville, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073290698. Details of each certification follow.

Skilled nursing facility certification: CCN 515103

Legal name
GLENVILLE SNF OPERATIONS LLC
Doing business as
GLENVILLE HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 25, 1989
Last certification
Oct 24, 2024
Beds
65
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hill Valley
Organization structure
LLCProprietary
Incorporated
Jun 13, 2023 in NV
Enrollment address
111 Fairground Rd
Glenville, WV 26351-1388
Nursing home name
GLENVILLE HEALTH & REHAB
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glenville Health & RehabCCN 515103 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 25, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6564.4 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Penalties (3 years)
1Fines totaling $39,390

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
51D0672758Glenville Health & Rehabilitation111 Fairground Road, Glenville, WV 26351Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Julie Brenneman Individual W-2 Managing EmployeeAdministrator Jul 31, 2023
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Jul 31, 2023 48.75%
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest Jul 31, 2023 46.36%
WV Gen 2 SNF Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Direct Ownership Interest Jul 31, 2023 100%
Phillip Sterling Individual Corporate OfficerCoo Jul 31, 2023
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Jul 31, 2023 46.36%
Lion 26 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Jul 31, 2023 48.75%

Facilities with the same owner 47

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

  • Belington SNF Operations LLC

    dba Tygart Valley Health & Rehabilitation

    • Skilled Nursing Facility
    • Belington, WV
    • NPI 1811670607

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Cortland Acres SNF Operations LLC

    dba Cortland Acres Health & Rehabilitation

    • Skilled Nursing Facility
    • Thomas, WV
    • NPI 1396565453

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Huntington SNF Operations LLC

    dba Huntington Health & Rehab Center

    • Skilled Nursing Facility
    • Huntington, WV
    • NPI 1447900550

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Maples SNF Operations LLC

    dba Bluestone Health & Rehabilitation

    • Skilled Nursing Facility
    • Bluefield, WV
    • NPI 1952009979

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Martinsville SNF Operations LLC

    dba New Martinsville Health & Rehabilitation

    • Skilled Nursing Facility
    • New Martinsville, WV
    • NPI 1285311803

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, WV Gen 2 SNF Operations Holdings LLC

    CMS ownership
  • Ripley SNF Operations LLC
    • Skilled Nursing Facility
    • Ripley, WV
    • NPI 1023693181

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Alexandria SNF Operations LLC

    dba Alexandria Health & Rehabilitation

    • Skilled Nursing Facility
    • Alexandria, VA
    • NPI 1346951761

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Amherst SNF Operations LLC

    dba Fairmont Crossing Health and Rehab Center

    • Skilled Nursing Facility
    • Amherst, VA
    • NPI 1174297063

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Bedford SNF Operations LLC

    dba Oakwood Health and Rehab Center

    • Skilled Nursing Facility
    • Bedford, VA
    • NPI 1508530387

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Beth Sholom SNF Operations LLC

    dba Shalom Gardens Health & Rehabilitation

    • Skilled Nursing Facility
    • Richmond, VA
    • NPI 1881388510

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Blue Ridge SNF Operations LLC

    dba Blue Ridge Therapy Connection

    • Skilled Nursing Facility
    • Stuart, VA
    • NPI 1013478411

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Carlin Springs SNF Operations LLC

    dba Carlin Springs Health & Rehabilitation

    • Skilled Nursing Facility
    • Arlington, VA
    • NPI 1700597127

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
View all 47

Practitioners & affiliated clinicians

Practitioners 2

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": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1073290698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FAIRGROUND RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511388",
            "telephone_number": "304-462-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAIRGROUND RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511388",
            "telephone_number": "304-462-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVILLE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "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": [
        {
            "organization_name": "Glenville Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenville, WV

Sources for this page

Verify at the official NPI Registry.