Active NPI
CV Operating LLC
- Skilled Nursing Facility
- Lancaster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CV OPERATING LLC
- Practice address
- 957 Becks Knob Rd
Lancaster, OH 43130-8800 - Phone
- (740) 654-2634
- NPI assigned
- Dec 7, 2023
- 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
- Miranda Caudill
- Title
- Manager
- Phone
- (740) 654-2634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
957 Becks Knob Rd
Lancaster, OH 43130-8800
Mailing address
957 Becks Knob Rd
Lancaster, OH 43130-8800
Phone (740) 654-2634
Other names 1
- Luxe Rehabilitation & Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240118002123 | OH | Part A Provider - Skilled Nursing Facility | 3375995095 | Practice locations: Lancaster, OH |
Skilled nursing facility certification: CCN 365344
- Legal name
- CV OPERATING LLC
- Doing business as
- LUXE REHABILITATION AND CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 9, 1977
- Last certification
- Aug 29, 2024
- Beds
- 172
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Stellar Care Group
- Organization structure
- LLC
- Enrollment address
- 957 Becks Knob Rd
Lancaster, OH 43130-8800 - Nursing home name
- LUXE REHABILITATION AND CARE CENTER
- Affiliated entity
- DAVID OBERLANDER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Luxe Rehabilitation and Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 9, 1977
- Medicare certification status
- Active
- Certified beds
- 172
- Chain
- David Oberlander
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryLocations
957 Becks Knob Rd
Lancaster, OH 43130
Phone (740) 653-9481
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Staci Hall | Operational/Managerial Control | Dec 21, 2023 | |
| Adp of the SNF | Dec 21, 2023 | ||
| Sholem Oberlander | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 10% |
| Adp of the SNF | Nov 26, 2024 | ||
| Lancaster Propco LLC | Adp of the SNF | Oct 31, 2024 | |
| David Oberlander | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 65% |
| Corporate Officer | Dec 21, 2023 | ||
| Operational/Managerial Control | Nov 26, 2024 | ||
| David E Whitt | Operational/Managerial Control | Dec 21, 2023 | |
| Adp of the SNF | Dec 21, 2023 | ||
| DMT Spe I LLC | 5% Or Greater Mortgage Interest | Dec 21, 2023 | 100% |
| Wol Holding LLC | 5% Or Greater Direct Ownership Interest | Dec 21, 2023 | 100% |
| Adp of the SNF | Oct 31, 2024 | ||
| Yehuda Wenger | 5% Or Greater Indirect Ownership Interest | Dec 21, 2023 | 25% |
| Corporate Officer | Dec 21, 2023 | ||
| Adp of the SNF | Nov 26, 2024 | ||
| LTC Provider Services LLC | Adp of the SNF | Oct 31, 2024 |
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
- Canal Winchester, OH
- NPI 1710961438
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1386731263
-
- Internal Medicine Physician
- Canal Winchester, OH
- NPI 1710961438
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Canal Winchester, OH
- NPI 1710961438
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731110400000",
"number": "1104693456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 BECKS KNOB RD",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308800",
"telephone_number": "740-654-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 BECKS KNOB RD",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308800",
"telephone_number": "740-654-2634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CV OPERATING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-07",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A",
"authorized_official_last_name": "CAUDILL",
"authorized_official_first_name": "MIRANDA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "740-654-2634"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Luxe Rehabilitation & Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Luxe Rehabilitation & Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.