NPIMap

Organization Active NPI

Ga Opco LLC

  • Skilled Nursing Facility
  • Sylvania, GA
National Provider Identifier
1174290100
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GA OPCO LLC
Practice address
411 Pine St
Sylvania, GA 30467-2035
Phone
(912) 564-2015
Fax
(912) 564-9218
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Josef Neuman
Title
Authorized Signatory
Phone
(912) 564-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

411 Pine St
Sylvania, GA 30467-2035

Mailing address

411 Pine St
Sylvania, GA 30467-2035
Phone (912) 564-2015

Other names 1

  • Pine View Nursing and Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105000651 GA Part A Provider - Skilled Nursing Facility 3870982200 Practice locations: Sylvania, GA

Skilled nursing facility certification: CCN 115544

Legal name
GA OPCO LLC
Doing business as
PINE VIEW NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1993
Last certification
Dec 6, 2024
Beds
128
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vered - Regal Care
Organization structure
LLCProprietary
Incorporated
May 12, 2021 in NJ
Enrollment address
411 Pine St
Sylvania, GA 30467-2035
Nursing home name
PINE VIEW NURSING AND REHAB CENTER
Affiliated entity
ELIYAHU MIRLIS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pine View Nursing and Rehab CenterCCN 115544
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128106.9 residents per day on average
Chain
Eliyahu Mirlis13 facilities in the chain
Penalties (3 years)
1Fines totaling $4,017

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Syl View Operations Holdings LLC Organization, Edison, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Ga Opco Holdco LLC Organization, Edison, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 81%
Rachel Eggleston Individual W-2 Managing EmployeeFacility Administrator Nov 1, 2021 100%
Eliyahu Mirlis Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2021 94.94%
Corporate OfficerManager Jul 1, 2023
Shore Health Management Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Nov 1, 2021 19%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 3

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": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1174290100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PINE ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672035",
            "telephone_number": "912-564-2015",
            "fax_number": "912-564-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PINE ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672035",
            "telephone_number": "912-564-2015",
            "fax_number": "912-564-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "912-564-2015"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine View Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, GA

Sources for this page

Verify at the official NPI Registry.