NPIMap

Organization Active NPI

Holly Manor SNF Operations LLC

Doing business as Holly Manor Rehab and Nursing

  • Skilled Nursing Facility
  • Farmville, VA
National Provider Identifier
1235886607
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOLLY MANOR SNF OPERATIONS LLC
Doing business as
Holly Manor Rehab and Nursing
Practice address
2003 Cobb St
Farmville, VA 23901-2603
Phone
(434) 392-6106
NPI assigned
Mar 7, 2022
Last updated
Apr 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Cost Containment
Phone
(516) 855-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2003 Cobb St
Farmville, VA 23901-2603

Mailing address

2003 Cobb St
Farmville, VA 23901-2603

Other names 1

  • Holly Manor Rehab 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
O20220721003803 VA Part A Provider - Skilled Nursing Facility 4688053812 Practice locations: Farmville, VA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235886607. Details of each certification follow.

Skilled nursing facility certification: CCN 495339

Legal name
HOLLY MANOR SNF OPERATIONS LLC
Doing business as
HOLLY MANOR REHAB AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1999
Last certification
Aug 30, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hill Valley Healthcare
Most recent change of ownership
May 1, 2022
Organization structure
LLCProprietary
Incorporated
Dec 22, 2021 in VA
Enrollment address
2003 Cobb St
Farmville, VA 23901-2603
Nursing home name
HOLLY MANOR REHAB AND NURSING
Affiliated entity
HILL VALLEY HEALTHCARE

Outpatient physical therapy / speech pathology certification: CCN 496727

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HOLLY MANOR REHAB AND NURSING
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 20, 2011
Last certification
Oct 25, 2022
Ownership / control type
Proprietary
Most recent change of ownership
May 1, 2022
Facility address
2003 Cobb Street
Farmville, VA 23901

Care Compare: Nursing home

Medicare Care Compare
Listed as
Holly Manor Rehab and NursingCCN 495339 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.9 residents per day on average
Chain
Hill Valley Healthcare43 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
49D0891562Holly Manor Rehab and Nursing2003 Cobb St, Farmville, VA 23901Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest May 1, 2022 47.5%
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest May 1, 2022 45.2%
Zach Preston Individual W-2 Managing EmployeeAdmin May 1, 2022
Holly Manor SNF Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Direct Ownership Interest May 1, 2022 100%
Shimon Idels Individual Corporate Officer May 1, 2021
Farmville Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Indirect Ownership Interest May 1, 2022 100%
Delilah 2626 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest May 1, 2022 5%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest May 1, 2022 45.2%
Lion 26 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest May 1, 2022 47.5%

Facilities with the same owner 47

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

  • Alexandria SNF Operations LLC

    dba Alexandria Health & Rehabilitation

    • Skilled Nursing Facility
    • Alexandria, VA
    • NPI 1346951761

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Amherst SNF Operations LLC

    dba Fairmont Crossing Health and Rehab Center

    • Skilled Nursing Facility
    • Amherst, VA
    • NPI 1174297063

    Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Bedford SNF Operations LLC

    dba Oakwood Health and Rehab Center

    • Skilled Nursing Facility
    • Bedford, VA
    • NPI 1508530387

    Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Beth Sholom SNF Operations LLC

    dba Shalom Gardens Health & Rehabilitation

    • Skilled Nursing Facility
    • Richmond, VA
    • NPI 1881388510

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Blue Ridge SNF Operations LLC

    dba Blue Ridge Therapy Connection

    • Skilled Nursing Facility
    • Stuart, VA
    • NPI 1013478411

    Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Carlin Springs SNF Operations LLC

    dba Carlin Springs Health & Rehabilitation

    • Skilled Nursing Facility
    • Arlington, VA
    • NPI 1700597127

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Diamond Hill SNF Operations LLC

    dba Guggenheimer Health and Rehab Center

    • Skilled Nursing Facility
    • Lynchburg, VA
    • NPI 1679247563

    Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Evergreen SNF Operations LLC

    dba Evergreen Health and Rehabilitation Center

    • Skilled Nursing Facility
    • Winchester, VA
    • NPI 1487221107

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Fair Oaks SNF Operations LLC

    dba Fair Oaks Health & Rehabilitation

    • Skilled Nursing Facility
    • Fairfax, VA
    • NPI 1972214393

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Fork Union SNF Operations LLC

    dba Oakhurst Health & Rehabilitation

    • Skilled Nursing Facility
    • Fork Union, VA
    • NPI 1194441949

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Highland SNF Operations LLC

    dba Highland Ridge Rehab Center

    • Skilled Nursing Facility
    • Dublin, VA
    • NPI 1679034078

    Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
  • Lakeside VA SNF Operations LLC

    dba Lakeside Health & Rehabilitation

    • Skilled Nursing Facility
    • Richmond, VA
    • NPI 1427769843

    Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

    CMS ownership
View all 47

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1235886607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 COBB ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 COBB ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012603",
            "telephone_number": "434-392-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY MANOR SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF COST CONTAINMENT",
        "authorized_official_telephone_number": "516-855-5504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Manor Rehab and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.