NPIMap

Organization Active NPI

Farmville Health & Rehab Center, LLC

Doing business as Farmville Health & Rehab Center

  • Skilled Nursing Facility
  • Farmville, VA
National Provider Identifier
1225522261
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FARMVILLE HEALTH & REHAB CENTER, LLC
Doing business as
Farmville Health & Rehab Center
Practice address
1575 Scott Dr
Farmville, VA 23901-2662
Phone
(434) 392-8806
NPI assigned
Jun 21, 2018
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
William I Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

IdentifierTypeStateIssuer
1225522261MedicaidVA

Other names 1

  • Farmville Health & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180913000067 VA Part A Provider - Skilled Nursing Facility 1456601442 Practice locations: Farmville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225522261. Details of each certification follow.

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
LLCProprietary
Enrollment address
1575 Scott Dr
Farmville, VA 23901-2662
Nursing home name
FARMVILLE HEALTH & REHAB CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Farmville Health & Rehab CenterCCN 495249 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
120109.9 residents per day on average
Chain
Saber Healthcare Group126 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
49D0885991Farmville Health & Rehab Center, LLC1575 Scott Drive, Farmville, VA 23901Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Jan 1, 2023 100%
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023
Huntington National Bank Organization, Columbus, OH Financial institution Adp of the SNF Jun 28, 2019
Gregory Nicoluzakis Individual Managing Control - Governing BodySecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Farmville Real Estate Group, LLC Organization, Beachwood, OH LLC Adp of the SNF Feb 26, 2021
Saber Healthcare Group LLC Organization, Beachwood, OH LLC, Chain home office Adp of the SNF Sep 1, 2018
BNV Dynasty LLC Organization, Beachwood, OH LLC Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Operational/Managerial Control Mar 1, 2019
Managing Control - Governing BodyVice President & Treasure Mar 1, 2019
Adp of the SNF Mar 1, 2019
James Danner Individual Operational/Managerial Control Mar 1, 2022
Adp of the SNF Mar 1, 2022
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Sep 1, 2018
Wiw Dynasty LLC Organization, Beachwood, OH LLC Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Operational/Managerial Control Sep 1, 2018
Adp of the SNF Sep 1, 2018
Walker & Associates PC Organization, Roanoke, VA Corporation Adp of the SNF Sep 1, 2018
Cibc Bank USA Organization, Chicago, IL Financial institution Adp of the SNF Feb 26, 2021
Joseph C Hopkins Individual Operational/Managerial ControlRegional VP of Operations May 8, 2023
Adp of the SNF May 8, 2023
Susan Worsham Individual Operational/Managerial Control Jun 26, 2023
Adp of the SNF Jun 26, 2023
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH Adp of the SNF Jan 1, 2023
Indirect Ownership Interest Jan 1, 2023 67%

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 120

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

View all 120

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": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1225522261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SCOTT DR",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012662",
            "telephone_number": "434-392-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMVILLE HEALTH & REHAB CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225522261",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmville Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.