Organization Active NPI

Three Rivers SNF Operations LLC

Doing business as Three Rivers Health & Rehab Center

  • Skilled Nursing Facility
  • West Point, VA
National Provider Identifier
1255031084
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THREE RIVERS SNF OPERATIONS LLC
Doing business as
Three Rivers Health & Rehab Center
Practice address
2960 Chelsea Rd
West Point, VA 23181-9793
Phone
(804) 843-4323
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Jake Hartstein
Title
Authorized Official
Phone
(804) 843-4323

Specialties & licenses 1

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

Addresses

Primary practice location

2960 Chelsea Rd
West Point, VA 23181-9793

Mailing address

265 E Merrick Rd Ste 205
Valley Stream, NY 11580-6004

Other names 1

  • Three Rivers 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
O20230526001663 VA Part A Provider - Skilled Nursing Facility 0749647261 Practice locations: West Point, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255031084. Details of each certification follow.

Skilled nursing facility certification: CCN 495303

Legal name
THREE RIVERS SNF OPERATIONS LLC
Doing business as
THREE RIVERS HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1995
Last certification
Feb 27, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Mar 1, 2023
Organization structure
LLCProprietary
Incorporated
Dec 29, 2022 in VA
Enrollment address
2960 Chelsea Rd
West Point, VA 23181-9793
Nursing home name
THREE RIVERS HEALTH & REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Three Rivers Health & Rehab CenterCCN 495303 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6057.9 residents per day on average
Penalties (3 years)
1Fines totaling $8,492

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
BSD Eom Irrevocable Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Mar 1, 2023 25%
Vogue NHC LLC Organization, Monsey, NY LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2023 25%
HLHK Irrevocable Trust Organization, Hollywood, FL 5% Or Greater Indirect Ownership Interest Mar 1, 2023 25%
Nicola Montfordd Individual W-2 Managing EmployeeAdministrator Mar 1, 2023
Jake Hartstein Individual Corporate OfficerAuthorized Official Mar 1, 2023
South East Virginia Hold Co LLC Organization, Valley Stream, NY LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2023 25%
VA 3 Opco Holdco LLC Organization, Valley Stream, NY LLC 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1255031084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MERRICK RD STE 205",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CHELSEA RD",
            "city": "WEST POINT",
            "state": "VA",
            "postal_code": "231819793",
            "telephone_number": "804-843-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HARTSTEIN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "804-843-4323"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Point, VA

Sources for this page

Verify at the official NPI Registry.