Waterview SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WATERVIEW SNF OPERATIONS LLC

Doing business as

Waterview Health & Rehab Center

Practice address

414 Algonquin Rd
Hampton, VA 23661-1605

Phone

(757) 722-9881

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jake Hartstein

Title

Authorized Official

Phone

(757) 722-9881

Specialties & licenses 1

Addresses

Other names 1

• Waterview Health & Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164122990. Details of each certification follow.

• CCN 495308 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495308

Legal name

WATERVIEW SNF OPERATIONS LLC

Doing business as

WATERVIEW HEALTH & REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 6, 1996

Last certification

Aug 25, 2023

Beds

130

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Fifth Star Care Management

Most recent change of ownership

Mar 1, 2023

Organization structure

Not SelectedProprietary

Enrollment address

414 Algonquin Rd
Hampton, VA 23661-1605

Nursing home name

WATERVIEW HEALTH & REHAB CENTER

Listed as

Waterview Health & Rehab CenterCCN 495308 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 6, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

130116.6 residents per day on average

Penalties (3 years)

1Fines totaling $14,888

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 7

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

Facilities with the same owner 2

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

• Northern Neck SNF Operations LLC

  dba Northern Neck Senior Care Community

  • Skilled Nursing Facility
  • Warsaw, VA
  • NPI 1144921453

  BSD Eom Irrevocable Trust, HLHK Irrevocable Trust, South East Virginia Hold Co LLC, VA 3 Opco Holdco LLC, Vogue NHC LLC

  CMS ownership
• Three Rivers SNF Operations LLC

  dba Three Rivers Health & Rehab Center

  • Skilled Nursing Facility
  • West Point, VA
  • NPI 1255031084

  BSD Eom Irrevocable Trust, HLHK Irrevocable Trust, South East Virginia Hold Co LLC, VA 3 Opco Holdco LLC, Vogue NHC LLC

  CMS ownership

Affiliated clinicians 2

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

• Alfonso D Brochero, MD

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1306005665

  Nursing home

  Care Compare affiliation
• Michael T Williams, M.D.

  • Internal Medicine Physician
  • Suffolk, VA
  • NPI 1093868424

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1164122990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MERRICK RD STE 205",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611605",
            "telephone_number": "757-722-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVIEW SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HARTSTEIN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "757-722-9881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterview Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Washington
• Tasha Washington, NP
• Tia L. Washington, R.N.C., W.H.N.P-BC
• Genevieve Marie Washnieski, COTA
• Wael W Wassef
• Amanda K Watkins, PA-C
• James Darnell Watkins, D.D.S.
• Hope Danielle Watson, PHARMD
• Jhanelle Alicia Watson, NP
• Shameka Watson, IBCLC

• Skilled Nursing Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Skilled Nursing Facility in Virginia

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

Verify at the official NPI Registry.