NPIMap

Organization Active NPI

Arabella Health and Wellness of Russellville LLC

  • Skilled Nursing Facility
  • Russellville, AL
National Provider Identifier
1124749163
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARABELLA HEALTH AND WELLNESS OF RUSSELLVILLE LLC
Practice address
705 Gandy St NE
Russellville, AL 35653-1913
Phone
(256) 332-3773
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chaim N Hertzel
Title
Member
Phone
(901) 930-6124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

705 Gandy St NE
Russellville, AL 35653-1913

Mailing address

3440 Hollywood Blvd Ste 415
Hollywood, FL 33021-6933
Phone (901) 930-6124

Other names 2

  • Arabella Health & Wellness of Russellville Doing business as
  • EAST VILLAGE NURSING AND REHAB PROPCO LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221128000645 AL Part A Provider - Skilled Nursing Facility 0042688921 Practice locations: Russellville, AL

Skilled nursing facility certification: CCN 015071

Legal name
ARABELLA HEALTH AND WELLNESS OF RUSSELLVILLE LLC
Doing business as
ARABELLA HEALTH & WELLNESS OF RUSSELLVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 3, 1967
Last certification
Sep 21, 2022
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
THE HUIE GROUP
Most recent change of ownership
Oct 1, 2022
Organization structure
LLCProprietary
Incorporated
May 20, 2022 in DE
Enrollment address
705 Gandy St NE
Russellville, AL 35653-1913
Nursing home name
EVERSTEAD HEALTH AND REHABILITATION CENTER
Affiliated entity
ARABELLA HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Everstead Health and Rehabilitation CenterCCN 015071
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 3, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5044.6 residents per day on average
Chain
Arabella Healthcare Management12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0302643Dba Arabella Health & Wellness of Russellville705 Gandy St NE, Russellville, AL 35653Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chaim Hertzel Individual Corporate OfficerAuthorized Signatory Oct 1, 2022
Operational/Managerial Control Oct 1, 2022
Adp of the SNF Oct 1, 2022
Organization, New York, NY LLC, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Organization, Hollywood, FL For-profit Adp of the SNF Mar 4, 2024
Richard Walls Individual Operational/Managerial Control May 15, 2023
Adp of the SNF May 15, 2023
Organization, Bal Harbour, FL LLC, Holding company, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Arabella Healthcare Management LLC Organization, Hollywood, FL LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2022
Adp of the SNF Mar 18, 2025
Organization, New York, NY Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 2.25%
Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Organization, Hollywood, FL LLC, For-profit Adp of the SNF Mar 4, 2024
Organization, Hollywood, FL LLC, For-profit Adp of the SNF Mar 4, 2024
Hwood Partners LLC Organization, Hollywood, FL LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2022 86.5%
Adp of the SNF Mar 4, 2024
Organization, Englewood, NJ Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.28%
Organization, New York, NY Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 2.25%
Arabella Al 600 Opco LP Organization, Hollywood, FL Created for acquisition, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%
Enrico Deseo Y. Gaspar Individual Operational/Managerial Control Mar 25, 2024
Adp of the SNF Mar 25, 2024
Arco Kano Irrv TR Organization, Fort Lauderdale, FL 5% Or Greater Indirect Ownership Interest Oct 1, 2022 43.25%
Adp of the SNF Mar 4, 2024
Arabella Health and Wellness of Phenix City LLC Organization, Hollywood, FL Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 1, 2022 100%
Adp of the SNF Oct 1, 2022
Individual Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Individual Adp of the SNF Oct 1, 2022
Organization, New York, NY Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 0.22%
GNH Irrv TR Organization, Hollywood, FL 5% Or Greater Indirect Ownership Interest Oct 1, 2022 43.25%
Adp of the SNF Mar 4, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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 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": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1124749163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD STE 415",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216933",
            "telephone_number": "901-930-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GANDY ST NE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531913",
            "telephone_number": "256-332-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARABELLA HEALTH AND WELLNESS OF RUSSELLVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "HERTZEL",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "901-930-6124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arabella Health & Wellness of Russellville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EAST VILLAGE NURSING AND REHAB PROPCO LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

Verify at the official NPI Registry.