NPIMap

Organization Active NPI

WLC Opco LLC

  • Skilled Nursing Facility
  • Wallace, NC
National Provider Identifier
1205575511
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WLC OPCO LLC
Practice address
647 S East Railroad St
Wallace, NC 28466-2091
Phone
(910) 285-9700
NPI assigned
Jun 3, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tzvi Alter
Title
Ceo
Phone
(908) 506-4204

Facilities with the same owner 62

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

View all 62

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
Wallace Rehabilitation and Healthcare CenterCCN 345323
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 16, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8075.1 residents per day on average
Chain
Simcha Hyman & Naftali Zanziper79 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103002872 NC Part a Provider - Skilled Nursing Facility 6305216540 Practice locations: Wallace, NC

Skilled nursing facility certification: CCN 345323

Medicare enrollment files
Legal name
WLC OPCO LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 16, 1990
Last certification
Feb 27, 2025
Beds
80
Ownership / control type
Corporation
Multi-facility organization
YAD Healthcare
Most recent change of ownership
Jul 1, 2022
Organization structure
LLCProprietary
Incorporated
Jun 6, 2022 in NC
Enrollment address
647 S East Railroad St
Wallace, NC 28466-2091
Nursing home name
WALLACE REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

All disclosed owners & managing parties 5

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
Tzvi Alter Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 80%
Corporate Director Jul 1, 2022
Zanziper Family Trust Organization, Englewd CLFS, NJ 5% Or Greater Indirect Ownership Interest Jul 1, 2022 10%
NC East Holding LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
HC Family Trust Organization, Englewd CLFS, NJ 5% Or Greater Indirect Ownership Interest Jul 1, 2022 10%
Megan Freeman Individual W-2 Managing EmployeeAdministrator Jul 1, 2022

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

647 S East Railroad St
Wallace, NC 28466-2091

Mailing address

311 Boulevard of the Americas
Suite 504
Lakewood, NJ 08701
Phone (908) 506-4204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2022.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1205575511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BOULEVARD OF THE AMERICAS",
            "address_2": "SUITE 504",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "908-506-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 S EAST RAILROAD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662091",
            "telephone_number": "910-285-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-506-4204"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

Verify at the official NPI Registry.