Organization Active NPI

Nine Haywood Avenue Operations LLC

  • Skilled Nursing Facility
  • Rutland, VT
National Provider Identifier
1205018694
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N/A Issued in VT
Legal business name
NINE HAYWOOD AVENUE OPERATIONS LLC
Practice address
9 Haywood Ave
Rutland, VT 05701-4832
Phone
(802) 775-0007
Fax
(802) 775-3241
NPI assigned
Nov 28, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michael T Berg
Title
Secretary
Phone
(505) 468-4742

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 178

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

View all 178

Practitioners 2

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

Affiliated clinicians 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mountain View Center Genesis HealthcareCCN 475012
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
158131.4 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Penalties (3 years)
3Fines totaling $40,350

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000523 VT Part A Provider - Skilled Nursing Facility 8123185451 Practice locations: Rutland, VT

Skilled nursing facility certification: CCN 475012

Legal name
NINE HAYWOOD AVENUE OPERATIONS LLC
Doing business as
MOUNTAIN VIEW CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1970
Last certification
Apr 11, 2024
Beds
158
Ownership / control type
Corporation
Multi-facility organization
Genesis Healthcare
Organization structure
LLCProprietary
Incorporated
Aug 17, 2007 in VT
Enrollment address
9 Haywood Avenue
Rutland, VT 05701-4832
Nursing home name
MOUNTAIN VIEW CENTER GENESIS HEALTHCARE
Affiliated entity
GENESIS HEALTHCARE

All disclosed owners & managing parties 21

Medicare enrollment files

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

NameRoleSinceShare
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jan 31, 2025
HCCF Management Group XI LLC Organization, Alpharetta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 10.8%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jan 31, 2025
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Teresa Marie Isabelle Individual Operational/Managerial Control Oct 21, 2019
Adp of the SNF Jan 31, 2025
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Operations LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2009 100%
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 5.2%
Genesis Healthcare LLC Organization, Kennett Square, PA For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 65.3%
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 10.8%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 7.6%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 7.6%
Genesis VT Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2009 100%
Michael T Berg Individual Corporate OfficerSecretary Mar 2, 2015 100%
Eitan Sobel Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Jan 31, 2025
GHC Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2011 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

National Provider Directory

National Provider Directory
Tax ID family
McKerley Health Care Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N/A VT Primary

Addresses

NPPES NPI Registry

Primary practice location

9 Haywood Ave
Rutland, VT 05701-4832

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1016087MedicaidVT

Other names 1

NPPES NPI Registry
  • Mountain View Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2024.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1205018694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAYWOOD AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014832",
            "telephone_number": "802-775-0007",
            "fax_number": "802-775-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE HAYWOOD AVENUE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016087",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.