Organization Active NPI

Winchester SNF Operations LLC

Doing business as Winchester Health & Rehabilitation

  • Skilled Nursing Facility
  • Winchester, VA
National Provider Identifier
1306561881
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 & RehabilitationCCN 495389 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6055.6 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0225167Winchester Health & Rehabilitation110 Lauck Drive, Winchester, VA 22603Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 48.75%
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest Dec 1, 2022 46.36%
Shimon Idels Individual Corporate Officer Dec 1, 2022
Operational/Managerial Control Dec 1, 2025
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Dec 1, 2022 46.36%
Lion 26 Holdings LLC Organization, Flushing, NY 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.

View all 47

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"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.