NPIMap

Organization Active NPI

Blue Ridge Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Harrisonburg, VA
National Provider Identifier
1205549581
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLUE RIDGE REHABILITATION AND NURSING LLC
Practice address
94 South Ave
Harrisonburg, VA 22801-2827
Phone
(540) 433-2791
NPI assigned
Jan 2, 2023
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

94 South Ave
Harrisonburg, VA 22801-2827

Mailing address

94 South Ave
Harrisonburg, VA 22801-2827
Phone (540) 433-2791

Other names 1

  • Blue Ridge Rehabilitation and Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326003392 VA Part A Provider - Skilled Nursing Facility 0840637831 Practice locations: Harrisonburg, VA

Skilled nursing facility certification: CCN 495146

Legal name
BLUE RIDGE REHABILITATION AND NURSING LLC
Doing business as
BLUE RIDGE REHABILITATION AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1984
Last certification
Aug 28, 2024
Beds
117
Ownership / control type
Corporation
Multi-facility organization
Eastern Health Care Group
Most recent change of ownership
Feb 1, 2024
Organization structure
LLCProprietary
Incorporated
Nov 30, 2022 in VA
Enrollment address
94 South Ave
Harrisonburg, VA 22801-2827
Nursing home name
BLUE RIDGE REHABILITATION AND NURSING
Affiliated entity
EASTERN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Blue Ridge Rehabilitation and NursingCCN 495146
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
117103.6 residents per day on average
Chain
Eastern Healthcare Group18 facilities in the chain
Penalties (3 years)
7Fines totaling $50,436

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
49D0225512Blue Ridge Rehabilitation Ad Nursing LLC94 South Ave, Harrisonburg, VA 22801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Shondel Samuels Individual W-2 Managing EmployeeAdministrator Feb 1, 2024
Ydi Irrevocable Trust Organization, Clifton, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2024 100%
Ydi Eastern Holdco LLC Organization, Montvale, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2024 50%
Akiva Shapiro Individual Corporate OfficerCoo Feb 1, 2024
JJ United TR Organization, Clifton, NJ For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2024 50%
VA SNF Operations Holdings 2 LLC Organization, Montvale, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Nechama Sommer Individual OtherFinancial Manager Feb 1, 2024

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": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1205549581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SOUTH AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012827",
            "telephone_number": "540-433-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 SOUTH AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012827",
            "telephone_number": "540-433-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.