Wexford Operating Group LLC
Organization Active NPI Skilled Nursing Facility · Kingsport, TN
NPI 1265227490 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1265227490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- WEXFORD OPERATING GROUP LLC
- Practice address
- 2421 N John B Dennis Hwy
Kingsport, TN 37660-4773 - Phone
- (423) 288-3988
- NPI assigned
- Apr 9, 2025
- Organization subpart
- No
Authorized official
- Name
- Anshel Niederman
- Title
- Manager
- Phone
- (919) 900-2005
Owners & managing parties with NPI records 24
-
Marta Jean Wayt, DO
Member of 2
Facilities with the same owner 2
Practitioners 1
Affiliated clinicians 2
-
Marta Jean Wayt, DO
Medicare Care Compare: Nursing home
- Listed as
- Wexford House
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 12, 1987
- Medicare certification status
- Active
- Certified beds
- 174 · 123.3 residents per day on average
- Chain
- Ahava Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Skilled nursing facility certification: CCN 445207
- Legal name
- WEXFORD OPERATING GROUP LLC
- Doing business as
- WEXFORD HOUSE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 12, 1987
- Last certification
- Mar 20, 2024
- Beds
- 174
- Ownership / control type
- Corporation
- Multi-facility organization
- Abava
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2421 N John B Dennis Hwy
Kingsport, TN 37660-4773 - Nursing home name
- WEXFORD HOUSE
- Affiliated entity
- AHAVA HEALTHCARE
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin Neuman |
Adp of the SNF | May 1, 2025 | |
| Indirect Ownership Interest | May 1, 2025 | 12.35% | |
| |
Adp of the SNF | May 12, 2025 | |
| |
Adp of the SNF | May 8, 2025 | |
| Bho Operating Group LLC |
Indirect Ownership Interest | May 1, 2025 | 95% |
| Ballad Health |
Adp of the SNF | May 1, 2025 | |
| Indirect Ownership Interest | May 1, 2025 | 5% | |
| Shiya Labin |
Adp of the SNF | May 1, 2025 | |
| Indirect Ownership Interest | May 1, 2025 | 12.35% | |
| Mountain States Health Alliance |
Adp of the SNF | May 1, 2025 | |
| Indirect Ownership Interest | May 1, 2025 | 5% | |
| Anshel Niederman |
Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body |
May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Indirect Ownership Interest | May 1, 2025 | 70.3% | |
| Wexford Operations Group Holdco LLC |
Direct Ownership Interest | May 1, 2025 | 100% |
| Ahava HC LLC |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 12, 2025 | ||
| |
Adp of the SNF | May 1, 2025 | |
| Michele Rusek |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Marta Wayt |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Wexford Realty Group LLC |
5% Or Greater Mortgage Interest | May 1, 2025 | 100% |
| Adp of the SNF | May 1, 2025 | ||
| |
Adp of the SNF | May 1, 2025 | |
| Blue Ridge Medical Management Corporation |
Adp of the SNF | May 1, 2025 | |
| Indirect Ownership Interest | May 1, 2025 | 5% | |
| |
Adp of the SNF | May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250618003567 | TN | Part a Provider - Skilled Nursing Facility | 2365953031 | Practice locations: Kingsport, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Mailing address
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Phone (423) 288-3988
Other names
- The Wexford House
Other providers in Kingsport, TN
- Kelli West
- Michael W. West
- Susan Shanks West
- Larry H. Westerfield
- Dennis Westmoreland
- Elicia Nichole White
- Jewel Johnny White
- Judith White
- Misty White
- Morgan White
All providers in Kingsport, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. 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.