NPIMap

Organization Active NPI

Nans Pointe Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Suffolk, VA
National Provider Identifier
1194474361
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NANS POINTE REHABILITATION AND NURSING LLC
Practice address
200 W Constance Rd
Suffolk, VA 23434-4413
Phone
(757) 539-8744
NPI assigned
Mar 23, 2022
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Akiva Shapiro
Title
Coo
Phone
(201) 581-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

200 W Constance Rd
Suffolk, VA 23434-4413

Mailing address

200 W Constance Rd
Suffolk, VA 23434-4413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418000627 VA Part A Provider - Skilled Nursing Facility 7214324409 Practice locations: Suffolk, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194474361. Details of each certification follow.

Skilled nursing facility certification: CCN 495247

Legal name
NANS POINTE REHABILITATION AND NURSING LLC
Doing business as
NANS POINTE REHABILITATION AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 28, 1991
Last certification
Jul 12, 2022
Beds
148
Ownership / control type
Limited Liability Corporation
Multi-facility organization
EASTERN HEALTH GROUP
Most recent change of ownership
Mar 1, 2022
Organization structure
LLCProprietary
Incorporated
Sep 14, 2021 in VA
Enrollment address
200 W Constance Rd
Suffolk, VA 23434-4413
Nursing home name
NANS POINTE REHABILITATION AND NURSING
Affiliated entity
EASTERN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nans Pointe Rehabilitation and NursingCCN 495247 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 28, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
148121.3 residents per day on average
Chain
Eastern Healthcare Group18 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
49D0228555Nans Pointe Rehabilitation and Nursing200 West Constance Rd, Suffolk, VA 23434Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
VA SNF Operations Holdings LLC Organization, Montvale, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 31, 2024 100%
Ydi Irrevocable Trust Organization, Clifton, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 100%
Ydi Eastern Holdco LLC Organization, Montvale, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 50%
Tameika Bryant Individual W-2 Managing EmployeeAdministrator Sep 3, 2023
Akiva Shapiro Individual Corporate OfficerCoo Mar 1, 2022
JJ United TR Organization, Clifton, NJ For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 50%

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1194474361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CONSTANCE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CONSTANCE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344413",
            "telephone_number": "757-539-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANS POINTE REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-581-6622"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.