Wilmington NC Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILMINGTON NC OPCO LLC

Practice address

820 Wellington Ave
Wilmington, NC 28401-7618

Phone

(910) 343-0425

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Itamar Binyomin Cohen

Title

Ceo

Phone

(910) 343-0425

Specialties & licenses 1

Addresses

Other names 1

• August Healthcare at Wilmington Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345236

Legal name

WILMINGTON NC OPCO LLC

Doing business as

AUGUST HEALTHCARE AT WILMINGTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 4, 1983

Last certification

May 15, 2025

Beds

120

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

820 Wellington Ave
Wilmington, NC 28401-7618

Nursing home name

AUGUST HEALTHCARE AT WILMINGTON

Affiliated entity

AUGUST HEALTHCARE

Listed as

August Healthcare at WilmingtonCCN 345236

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 4, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120105.8 residents per day on average

Chain

August Healthcare6 facilities in the chain

Penalties (3 years)

1Fines totaling $27,378

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

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

• Mary Kathryn Rudyk, M.D.

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1023165289

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Ahoskie NC Opco LLC

  • Skilled Nursing Facility
  • Ahoskie, NC
  • NPI 1780453571

  Augustnc Holdco LLC

  CMS ownership
• Gatesville NC Opco LLC

  • Skilled Nursing Facility
  • Gatesville, NC
  • NPI 1306615018

  Augustnc Holdco LLC

  CMS ownership
• Scotland Neck NC Opco LLC

  • Skilled Nursing Facility
  • Scotland Neck, NC
  • NPI 1215706924

  Augustnc Holdco LLC

  CMS ownership
• Wilson NC Opco LLC

  • Skilled Nursing Facility
  • Wilson, NC
  • NPI 1124897848

  Augustnc Holdco LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin David Keagle, D.O.

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1841308277
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kevin David Keagle, D.O.

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1841308277

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1124897830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 WELLINGTON AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017618",
            "telephone_number": "910-343-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 WELLINGTON AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017618",
            "telephone_number": "910-343-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON NC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-09",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ITAMAR",
        "authorized_official_middle_name": "BINYOMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-343-0425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "August Healthcare at Wilmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.