Active NPI
Winchester SNF Operations LLC
Doing business as Winchester Health & Rehabilitation
- Skilled Nursing Facility
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WINCHESTER SNF OPERATIONS LLC
- Doing business as
- Winchester Health & Rehabilitation
- Practice address
- 110 Lauck Dr
Winchester, VA 22603-4282 - Phone
- (540) 667-7830
- NPI assigned
- Oct 7, 2022
- Last updated
- Oct 7, 2022
- Organization subpart
- No
NPPES NPI Registry
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 Procurement
- Phone
- (646) 275-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
110 Lauck Dr
Winchester, VA 22603-4282
Mailing address
110 Lauck Dr
Winchester, VA 22603-4282
Phone (540) 667-7830
Other names 1
- Winchester Health & Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230228002553 | VA | Part A Provider - Skilled Nursing Facility | 9133592868 | Practice locations: Winchester, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306561881. Details of each certification follow.
Skilled nursing facility certification: CCN 495389
- Legal name
- WINCHESTER SNF OPERATIONS LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 2006
- Last certification
- Apr 12, 2023
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- HILL VALLEY HEALTH CARE
- Most recent change of ownership
- Dec 1, 2022
- Organization structure
- LLC
- Incorporated
- Jul 21, 2022 in NV
- Enrollment address
- 110 Lauck Dr
Winchester, VA 22603-4282 - Nursing home name
- WINCHESTER HEALTH & REHABILITATION
- Affiliated entity
- HILL VALLEY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Winchester Health & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 2006
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Hill Valley Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0225167 | Winchester Health & Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
110 Lauck Dr
Winchester, VA 22603
Phone (540) 667-7830
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sabrina 1818 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 48.75% |
| Saessy Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 46.36% |
| Shimon Idels | Corporate Officer | Dec 1, 2022 | |
| Operational/Managerial Control | Dec 1, 2025 | ||
| Tatiriq Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 46.36% |
| Lion 26 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 48.75% |
Facilities with the same owner 47
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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
-
dba Fairmont Crossing Health and Rehab Center
- Skilled Nursing Facility
- Amherst, VA
- NPI 1174297063
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Oakwood Health and Rehab Center
- Skilled Nursing Facility
- Bedford, VA
- NPI 1508530387
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
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
-
dba Blue Ridge Therapy Connection
- Skilled Nursing Facility
- Stuart, VA
- NPI 1013478411
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
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
-
dba Guggenheimer Health and Rehab Center
- Skilled Nursing Facility
- Lynchburg, VA
- NPI 1679247563
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
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
-
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
-
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
-
dba Highland Ridge Rehab Center
- Skilled Nursing Facility
- Dublin, VA
- NPI 1679034078
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Holly Manor Rehab and Nursing
- Skilled Nursing Facility
- Farmville, VA
- NPI 1235886607
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665100800000",
"number": "1306561881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LAUCK DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226034282",
"telephone_number": "540-667-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAUCK DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226034282",
"telephone_number": "540-667-7830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINCHESTER SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
"authorized_official_telephone_number": "646-275-4510"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Winchester Health & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.