NPIMap

Organization Active NPI

Wilson NC Opco LLC

  • Skilled Nursing Facility
  • Wilson, NC
National Provider Identifier
1124897848
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WILSON NC OPCO LLC
Practice address
1804 Forest Hills Rd W
Wilson, NC 27893-3413
Phone
(252) 237-8161
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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
(252) 237-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1804 Forest Hills Rd W
Wilson, NC 27893-3413

Mailing address

1804 Forest Hills Rd W
Wilson, NC 27893-3413
Phone (252) 237-8161

Other names 1

  • Harmony Park at Wilson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250817000054 NC Part A Provider - Skilled Nursing Facility 8224537295 Practice locations: Wilson, NC

Skilled nursing facility certification: CCN 345063

Legal name
WILSON NC OPCO LLC
Doing business as
HARMONY PARK AT WILSON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1972
Last certification
Mar 13, 2025
Beds
110
Ownership / control type
Corporation
Multi-facility organization
August Healthcare
Organization structure
LLCProprietary
Enrollment address
1804 Forest Hills Rd W
Wilson, NC 27893-3413
Nursing home name
HARMONY PARK AT WILSON
Affiliated entity
AUGUST HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony Park at WilsonCCN 345063
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11085.6 residents per day on average
Chain
August Healthcare6 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 4

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

NameRoleSinceShare
Sara Helen Deiter Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Mar 13, 2025
Augustnc Holdco LLC Organization, Waterbury, CT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Pradeep Patel Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 25, 2025
Itamar Cohen Individual 5% Or Greater Indirect Ownership InterestAuthorized Official / President Jan 1, 2025 100%

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 4

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1124897848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933413",
            "telephone_number": "252-237-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933413",
            "telephone_number": "252-237-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON NC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "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": "252-237-8161"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Park at Wilson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harmony Park at Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.