Organization Active NPI

CV Operating LLC

  • Skilled Nursing Facility
  • Lancaster, OH
National Provider Identifier
1104693456
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Nov 9, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 365344
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 9, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
172135.7 residents per day on average
Chain
David Oberlander7 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
3Fines totaling $70,768

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Staci Hall Individual Operational/Managerial Control Dec 21, 2023
Adp of the SNF Dec 21, 2023
Sholem Oberlander Individual 5% Or Greater Indirect Ownership Interest Dec 21, 2023 10%
Adp of the SNF Nov 26, 2024
Lancaster Propco LLC Organization, Lancaster, OH LLC Adp of the SNF Oct 31, 2024
David Oberlander Individual 5% Or Greater Indirect Ownership Interest Dec 21, 2023 65%
Corporate OfficerManager Dec 21, 2023
Operational/Managerial Control Nov 26, 2024
David E Whitt Individual Operational/Managerial Control Dec 21, 2023
Adp of the SNF Dec 21, 2023
DMT Spe I LLC Organization, St Petersburg, FL LLC, Financial institution 5% Or Greater Mortgage Interest Dec 21, 2023 100%
Wol Holding LLC Organization, Lancaster, OH Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 21, 2023 100%
Adp of the SNF Oct 31, 2024
Yehuda Wenger Individual 5% Or Greater Indirect Ownership Interest Dec 21, 2023 25%
Corporate OfficerManager Dec 21, 2023
Adp of the SNF Nov 26, 2024
LTC Provider Services LLC Organization, Cuyahoga Falls, OH LLC, Consulting firm 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "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

Verify at the official NPI Registry.