3900 Llewellyn Avenue Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

3900 LLEWELLYN AVENUE OPCO LLC

Practice address

3900 Llewellyn Ave
Norfolk, VA 23504-1203

Phone

(757) 625-5363

Fax

(757) 627-3161

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Tiffany Hoback

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other names 1

• Ghent Health & Rehabilitation Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Skilled nursing facility certification: CCN 495273

Legal name

3900 LLEWELLYN AVENUE OPCO LLC

Doing business as

GHENT HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1993

Last certification

Nov 11, 2021

Beds

222

Ownership / control type

Limited Liability Corporation

Organization structure

LLC

Enrollment address

3900 Llewellyn Ave
Norfolk, VA 23504-1203

Nursing home name

GHENT HEALTH AND REHABILITATION

Affiliated entity

AVARDIS HEALTH

Listed as

Ghent Health and RehabilitationCCN 495273

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

222160.9 residents per day on average

Chain

Avardis Health38 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

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 21

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.

• Amir Hajimomenian, MD

  • Internal Medicine Physician
  • Virginia Beach, VA
  • NPI 1497735112

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 42

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

• 12997 Nettles Drive Opco LLC

  • Skilled Nursing Facility
  • Newport News, VA
  • NPI 1477361418

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 1410 North Augusta Street Opco LLC

  • Skilled Nursing Facility
  • Staunton, VA
  • NPI 1487462420

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 1811 Jamestown Road Opco LLC

  • Skilled Nursing Facility
  • Williamsburg, VA
  • NPI 1205644150

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 23352 Courthouse Highway Opco LLC

  • Skilled Nursing Facility
  • Windsor, VA
  • NPI 1386452233

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 237 Franklin Pike Road SE Opco LLC

  • Skilled Nursing Facility
  • Floyd, VA
  • NPI 1538977483

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 400 South Independence Avenue Opco LLC

  • Skilled Nursing Facility
  • Independence, VA
  • NPI 1033927074

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 4355 Pheasant Ridge Road Opco LLC

  • Skilled Nursing Facility
  • Roanoke, VA
  • NPI 1629886577

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 803 South Main Street Opco LLC

  • Skilled Nursing Facility
  • Woodstock, VA
  • NPI 1376351239

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 83 Crossroads Lane Opco LLC

  • Skilled Nursing Facility
  • Fishersville, VA
  • NPI 1316755622

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 906 Thompson Street Opco LLC

  • Skilled Nursing Facility
  • Ashland, VA
  • NPI 1467260752

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Vaop Holdco LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 1000 Stacie Drive Opco LLC

  • Skilled Nursing Facility
  • Hazleton, PA
  • NPI 1174331029

  Nu C II Irrevocable Trust, Nu C Irrevocable Trust, SNF Care Centers LLC, SNF MGR LLC, Zenith Holdco II LLC, Zenith Holdco LLC

  CMS ownership
• 1000 Tandall Place Opco LLC

  • Skilled Nursing Facility
  • Knightdale, NC
  • NPI 1790593648

  SNF MGR LLC

  CMS ownership

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1073321022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LLEWELLYN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041203",
            "telephone_number": "757-625-5363",
            "fax_number": "757-627-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LLEWELLYN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041203",
            "telephone_number": "757-625-5363",
            "fax_number": "757-627-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3900 LLEWELLYN AVENUE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "HOBACK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Synergy Healthcare Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ghent Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ghent Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 180 Counseling Inc.
• 1St Home Care of VA., Inc.
• 24/7 We Care Transportation Services, LLC
• 24/7 We Care, LLC
• 38 To Life LLC
• 4Ward Logistics Management Inc
• 7 Cities Home Care Partnership
• 757 Community Health Services, LLC
• 7TH Heaven Medicx LLC
• A Beautiful Mind, LLC.

• All providers in Norfolk, VA
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.