Active NPI
West First Street Operating Company, LLC
Doing business as Willow Valley Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WEST FIRST STREET OPERATING COMPANY, LLC
- Doing business as
- Willow Valley Center for Nursing and Rehabilitation
- Practice address
- 1900 W 1St St
Winston Salem, NC 27104-4220 - Phone
- (336) 724-2821
- NPI assigned
- Nov 7, 2023
- Last updated
- Nov 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
- Yosef Emanuel
- Title
- Member
- Phone
- (917) 745-7945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1900 W 1St St
Winston Salem, NC 27104-4220
Mailing address
1900 W 1St St
Winston Salem, NC 27104-4220
Phone (336) 724-2821
Other names 1
- Willow Valley Center for Nursing and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250907000153 | NC | Part A Provider - Skilled Nursing Facility | 2264934470 | Practice locations: Winston Salem, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114791571. Details of each certification follow.
Skilled nursing facility certification: CCN 345092
- Legal name
- WEST FIRST STREET OPERATING COMPANY LLC
- Doing business as
- WILLOW VALLEY CENTER FOR NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1973
- Last certification
- Jul 2, 2024
- Beds
- 230
- Ownership / control type
- Corporation
- Multi-facility organization
- Alliance Health Group
- Organization structure
- LLC
- Incorporated
- Oct 23, 2023 in NC
- Enrollment address
- 1900 W 1St St
Winston Salem, NC 27104-4220 - Nursing home name
- WILLOW VALLEY CENTER FOR NURSING AND REHABILITATION
- Affiliated entity
- ALLIANCE HEALTH GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willow Valley Center for Nursing and Rehabilitatio
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1973
- Medicare certification status
- Active
- Certified beds
- 230
- Chain
- Alliance Health Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Alignment Holdco LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2024 | 100% |
| Direct Ownership Interest | Aug 1, 2024 | 100% | |
| Arelys Lilly Clark | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Coalition Group LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 100% |
| Indirect Ownership Interest | Aug 1, 2024 | 100% | |
| Timothy J Turbett | Adp of the SNF | Aug 1, 2024 | |
| Yosef Emanuel | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 100% |
| Corporate Officer | Aug 1, 2024 | ||
| Indirect Ownership Interest | Aug 1, 2024 | 100% | |
| Alliance Health Group LLC | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Feb 20, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Camellia Gardens Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Henderson, NC
- NPI 1932971926
Alignment Holdco LLC, Alliance Health Group LLC, Coalition Group LLC
-
dba Magnolia Gardens Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Thomasville, NC
- NPI 1386416147
Alignment Holdco LLC, Alliance Health Group LLC, Coalition Group LLC
-
dba Pine Acres Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Lexington, NC
- NPI 1760254528
Alignment Holdco LLC, Alliance Health Group LLC, Coalition Group LLC
-
dba Mill Creek Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Winston Salem, NC
- NPI 1427821669
Alignment Holdco LLC, Alliance Health Group LLC, Coalition Group LLC
-
dba Linden Place Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1154194306
Alignment Holdco LLC, Alliance Health Group LLC, Coalition Group LLC
-
dba Cedar Hills Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Clemmons, NC
- NPI 1477326635
Alignment Holdco LLC, Coalition Group LLC
-
- Skilled Nursing Facility
- Sparta, NC
- NPI 1891470332
Alliance Health Group LLC, Coalition Group LLC
-
dba Piedmont Hills Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1962275065
Alignment Holdco LLC, Alliance Health Group LLC
-
dba Cypress Valley Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Reidsville, NC
- NPI 1689447518
Alignment Holdco LLC, Coalition Group LLC
-
dba Dahlia Gardens Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Aberdeen, NC
- NPI 1114790763
Alignment Holdco LLC, Alliance Health Group LLC, Coalition Group LLC
-
dba Juniper Gardens Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Gastonia, NC
- NPI 1578355061
Alliance Health Group LLC, Coalition Group LLC
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": "1699315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1114791571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W 1ST ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044220",
"telephone_number": "336-724-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W 1ST ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044220",
"telephone_number": "336-724-2821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST FIRST STREET OPERATING COMPANY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "EMANUEL",
"authorized_official_first_name": "YOSEF",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "917-745-7945"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Willow Valley Center for Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.