Organization Active NPI

Pulaski Operations LLC

  • Skilled Nursing Facility
  • Pulaski, VA
National Provider Identifier
1114591385
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on May 13, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CNTRCCN 495294
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9099.2 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Charles 1994 & Family LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Edward 1998 Family Grantor Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
KSS 2000 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Pulaski Holdings I LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%
Edward 1998 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021
Saul 2012 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
ML 2000 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
America West LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 100%
Charles 1994 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 22.49%
Terressa Turner Individual W-2 Managing EmployeeAdmin May 28, 2021 100%
Redrock West LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 75%
MRV West LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021
Charles 1994 Family Grantor Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Rczbm West Manager LLC Organization, Lakewood, NJ 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.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.