NPIMap

Organization Active NPI

The Laurels of Bon Air, LLC

  • Skilled Nursing Facility
  • Richmond, VA
National Provider Identifier
1245454677
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2761 Issued in VA
Legal business name
THE LAURELS OF BON AIR, LLC
Practice address
9101 Bon Air Crossings Drive
Richmond, VA 23235
Phone
(804) 521-9980
Fax
(614) 794-8826
NPI assigned
Apr 13, 2007
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Anis Khan
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2761 VA Primary

Addresses

Primary practice location

9101 Bon Air Crossings Drive
Richmond, VA 23235

Mailing address

9101 Bon Air Crossings Drive
Richmond, VA 23235
Phone (804) 521-9980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070511000549 VA Part A Provider - Skilled Nursing Facility 9537266341 Practice locations: Richmond, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245454677. Details of each certification follow.

Skilled nursing facility certification: CCN 495394

Legal name
THE LAURELS OF BON AIR, LLC
Doing business as
THE LAURELS OF BON AIR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 2008
Last certification
Jun 27, 2024
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ciera Healthcorp
Organization structure
LLCProprietary
Incorporated
Jun 8, 2005 in MI
Enrollment address
9101 Bon Air Crossings Drive
Richmond, VA 23235
Nursing home name
THE LAURELS OF BON AIR
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels Of Bon AirCCN 495394 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124118.1 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
The Laurels of Bon Air2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
David Stobb Individual Adp of the SNF Feb 1, 2016
Anis Khan Individual Operational/Managerial Control Feb 1, 2016
Managing Control - Governing BodyManager Feb 1, 2016
Adp of the SNF Feb 1, 2016
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Scott Williamson Individual Operational/Managerial Control Sep 12, 2022
Adp of the SNF Sep 12, 2022
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 16, 2016
Managing Control - Governing BodyManager Feb 16, 2016
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Organization, Glenview, IL LLC, For-profit Adp of the SNF Apr 3, 2025
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2016
Adp of the SNF Apr 3, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Organization, Taylor, MI LLC, For-profit Adp of the SNF Apr 3, 2025
Danny W Felty Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

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 67

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

View all 67

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1245454677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BON AIR CROSSINGS DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-521-9980",
            "fax_number": "614-794-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 BON AIR CROSSINGS DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-521-9980",
            "fax_number": "614-794-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF BON AIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.