NPIMap

Organization Active NPI

Wexford Operating Group LLC

Doing business as The Wexford House

  • Skilled Nursing Facility
  • Kingsport, TN
National Provider Identifier
1265227490
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEXFORD OPERATING GROUP LLC
Doing business as
The Wexford House
Practice address
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Phone
(423) 288-3988
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Anshel Niederman
Title
Manager
Phone
(919) 900-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

  • The Wexford House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250618003567 TN Part A Provider - Skilled Nursing Facility 2365953031 Practice locations: Kingsport, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265227490. Details of each certification follow.

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
LLCProprietary
Enrollment address
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Nursing home name
WEXFORD HOUSE
Affiliated entity
AHAVA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wexford HouseCCN 445207 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
174123.3 residents per day on average
Chain
Ahava Healthcare16 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Benjamin Neuman Individual Adp of the SNF May 1, 2025
Indirect Ownership Interest May 1, 2025 12.35%
Organization, Brooklyn, NY LLC, For-profit Adp of the SNF May 12, 2025
Organization, Tampa, FL Corporation, For-profit Adp of the SNF May 8, 2025
Bho Operating Group LLC Organization, Brooklyn, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest May 1, 2025 95%
Ballad Health Organization, Johnson City, TN Corporation, For-profit Adp of the SNF May 1, 2025
Indirect Ownership Interest May 1, 2025 5%
Shiya Labin Individual Adp of the SNF May 1, 2025
Indirect Ownership Interest May 1, 2025 12.35%
Mountain States Health Alliance Organization, Johnson City, TN Corporation, Non-profit Adp of the SNF May 1, 2025
Indirect Ownership Interest May 1, 2025 5%
Anshel Niederman Individual Operational/Managerial Control May 1, 2025
Managing Control - Governing BodyManager May 1, 2025
Adp of the SNF May 1, 2025
Indirect Ownership Interest May 1, 2025 70.3%
Wexford Operations Group Holdco LLC Organization, Brooklyn, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest May 1, 2025 100%
Ahava HC LLC Organization, Brooklyn, NY LLC, Consulting firm, For-profit, Chain home office Operational/Managerial Control May 1, 2025
Adp of the SNF May 12, 2025
Individual Adp of the SNF May 1, 2025
Michele Rusek Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Marta Wayt Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Wexford Realty Group LLC Organization, Brooklyn, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest May 1, 2025 100%
Adp of the SNF May 1, 2025
Organization, Brooklyn, NY LLC, For-profit Adp of the SNF May 1, 2025
Blue Ridge Medical Management Corporation Organization, Johnson City, TN Corporation, For-profit Adp of the SNF May 1, 2025
Indirect Ownership Interest May 1, 2025 5%
Individual Adp of the SNF May 1, 2025

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1265227490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604773",
            "telephone_number": "423-288-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604773",
            "telephone_number": "423-288-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXFORD OPERATING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "NIEDERMAN",
        "authorized_official_first_name": "ANSHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-900-2005"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wexford House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.