Farmville Health & Rehab Center, LLC
Organization Active NPI Skilled Nursing Facility · Farmville, VA
NPI 1225522261 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1225522261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FARMVILLE HEALTH & REHAB CENTER, LLC
- Practice address
- 1575 Scott Dr
Farmville, VA 23901-2662 - Phone
- (434) 392-8806
- NPI assigned
- Jun 21, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- SABER HEALTHCARE HOLDINGS, LLC
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Owners & managing parties with NPI records 1
-
James David Danner, D.O.
Facilities with the same owner 120
Affiliated clinicians 1
-
Teresa R Wright, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Farmville Health & Rehab Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1991
- Medicare certification status
- Active
- Certified beds
- 120 · 109.9 residents per day on average
- Chain
- Saber Healthcare Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0885991 | Farmville Health & Rehab Center, LLC | Certificate of waiver | May 10, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495249
- Legal name
- FARMVILLE HEALTH & REHAB CENTER, LLC
- Doing business as
- FARMVILLE HEALTH & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1991
- Last certification
- May 23, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Saber Healthcare Group
- Most recent change of ownership
- Sep 1, 2018
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1575 Scott Dr
Farmville, VA 23901-2662 - Nursing home name
- FARMVILLE HEALTH & REHAB CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC |
Direct Ownership Interest | Jan 1, 2023 | 100% |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Jan 1, 2023 | ||
| Huntington National Bank |
Adp of the SNF | Jun 28, 2019 | |
| Gregory Nicoluzakis |
Managing Control - Governing Body |
Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC |
Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Governance LLC |
Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Farmville Real Estate Group, LLC |
Adp of the SNF | Feb 26, 2021 | |
| Saber Healthcare Group LLC |
Adp of the SNF | Sep 1, 2018 | |
| BNV Dynasty LLC |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Jan 1, 2023 | 33% | |
| Benjamin N Volpe |
Operational/Managerial Control | Mar 1, 2019 | |
| Managing Control - Governing Body |
Mar 1, 2019 | ||
| Adp of the SNF | Mar 1, 2019 | ||
| James Danner |
Operational/Managerial Control | Mar 1, 2022 | |
| Adp of the SNF | Mar 1, 2022 | ||
| Citrin Cooperman Advisors LLC |
Adp of the SNF | Sep 1, 2018 | |
| Wiw Dynasty LLC |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Jan 1, 2023 | 67% | |
| William I Weisberg |
Operational/Managerial Control | Sep 1, 2018 | |
| Adp of the SNF | Sep 1, 2018 | ||
| Walker & Associates PC |
Adp of the SNF | Sep 1, 2018 | |
| Cibc Bank USA |
Adp of the SNF | Feb 26, 2021 | |
| Joseph C Hopkins |
Operational/Managerial Control |
May 8, 2023 | |
| Adp of the SNF | May 8, 2023 | ||
| Susan Worsham |
Operational/Managerial Control | Jun 26, 2023 | |
| Adp of the SNF | Jun 26, 2023 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Jan 1, 2023 | 67% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180913000067 | VA | Part a Provider - Skilled Nursing Facility | 1456601442 | Practice locations: Farmville, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1575 Scott Dr
Farmville, VA 23901-2662
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225522261 | Medicaid | VA |
Other names
- Farmville Health & Rehab Center
Other providers in Farmville, VA
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- Family Medicine of Farmville, Inc.
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- Farmville Family Chiropractic, PC
- Farmville Family Pharmacy, Inc.
- Farmville Internal Medicine, PC
- Farmville Medical Imaging, PLC
- Farmville Pharmacy Inc
- Farmville Rehabilitation and Healthcare Center, LLC
- Farmville Urgent Care Center, Inc
All providers in Farmville, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.