Active NPI
Pulaski Operations LLC
- Skilled Nursing Facility
- Pulaski, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PULASKI OPERATIONS LLC
- Practice address
- 2401 Lee Hwy N
Pulaski, VA 24301-2325 - Phone
- (540) 980-3111
- NPI assigned
- May 13, 2021
- 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
- Terrie Turner
- Title
- Administrator
- Phone
- (540) 980-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2401 Lee Hwy N
Pulaski, VA 24301-2325
Mailing address
2401 Lee Hwy N
Pulaski, VA 24301-2325
Other names 1
- Pulaski Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210823003302 | VA | Part A Provider - Skilled Nursing Facility | 0446655823 | Practice locations: Pulaski, VA |
Skilled nursing facility certification: CCN 495294
- Legal name
- PULASKI OPERATIONS LLC
- Doing business as
- PULASKI HEALTH & REHABILITION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1995
- Last certification
- Jul 24, 2024
- Beds
- 90
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medical Facilkities of America
- Most recent change of ownership
- May 28, 2021
- Organization structure
- LLC
- Incorporated
- Mar 4, 2021 in VA
- Enrollment address
- 2401 Lee Hwy N
Pulaski, VA 24301-2325 - Nursing home name
- PULASKI HLTH & REHAB CNTR
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pulaski HLTH & Rehab CNTR
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1995
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- Lifeworks Rehab
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| Charles 1994 & Family LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| KSS 2000 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Pulaski Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| Edward 1998 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| ML 2000 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| America West LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 100% |
| Charles 1994 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.49% |
| Terressa Turner | W-2 Managing Employee | May 28, 2021 | 100% |
| Redrock West LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 75% |
| MRV West LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Rczbm West Manager LLC | Operational/Managerial Control | May 28, 2021 | 100% |
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Vinton, VA
- NPI 1861076044
America West LLC, Charles 1994 & Family LLC, Charles 1994 LLC, Edward 1998 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC
-
- Skilled Nursing Facility
- Rocky Mount, VA
- NPI 1154905354
America West LLC, Charles 1994 & Family LLC, Charles 1994 LLC, Edward 1998 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC
-
- Skilled Nursing Facility
- Gretna, VA
- NPI 1306420500
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, Edward 1998 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Saul 2012 Fam
-
- Skilled Nursing Facility
- Harrisonburg, VA
- NPI 1770157919
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1528632700
Charles 1994 & Family LLC, Charles 1994 LLC, Edward 1998 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, Rczbm West Manager LLC
-
- Skilled Nursing Facility
- Salem, VA
- NPI 1952975138
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, Edward 1998 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Saul 2012 Fam
-
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1750955936
America West LLC, Charles 1994 & Family LLC, Charles 1994 LLC, Edward 1998 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, Rczbm West Manager LLC
-
- Skilled Nursing Facility
- Bassett, VA
- NPI 1376117556
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Roanoke, VA
- NPI 1821059981
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620864000000",
"number": "1114591385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 LEE HWY N",
"city": "PULASKI",
"state": "VA",
"postal_code": "243012325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 LEE HWY N",
"city": "PULASKI",
"state": "VA",
"postal_code": "243012325",
"telephone_number": "540-980-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULASKI OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "TERRIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "540-980-3111"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pulaski Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.