Organization Active NPI

West First Street Operating Company, LLC

Doing business as Willow Valley Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Winston Salem, NC
National Provider Identifier
1114791571
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabilitatioCCN 345092 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
230217.6 residents per day on average
Chain
Alliance Health Group12 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $43,838

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Alignment Holdco LLC Organization, Greensboro, NC Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Direct Ownership Interest Aug 1, 2024 100%
Arelys Lilly Clark Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Coalition Group LLC Organization, Lawrence, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Indirect Ownership Interest Aug 1, 2024 100%
Timothy J Turbett Individual Adp of the SNF Aug 1, 2024
Yosef Emanuel Individual 5% Or Greater Indirect Ownership InterestCeo Aug 1, 2024 100%
Corporate OfficerCeo Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 100%
Alliance Health Group LLC Organization, Valley Stream, NY LLC, Management services company, For-profit 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.

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

Verify at the official NPI Registry.