Nassawadox Rehabilitation and Nursing LLC
Organization Active NPI Skilled Nursing Facility · Nassawadox, VA
NPI 1306587597 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1306587597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NASSAWADOX REHABILITATION AND NURSING LLC
- Practice address
- 9468 Hospital Road NW
Nassawadox, VA 23413 - Phone
- (757) 442-5600
- NPI assigned
- Apr 5, 2022
- Organization subpart
- No
Authorized official
- Name
- Akiva Shapiro
- Title
- Coo
- Phone
- (015) 816-6222
Facilities with the same owner 17
Medicare Care Compare: Nursing home
- Listed as
- Nassawadox Rehabilitation and Nursing
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1993
- Medicare certification status
- Active
- Certified beds
- 145 · 118.3 residents per day on average
- Chain
- Eastern Healthcare Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495277
- Legal name
- NASSAWADOX REHABILITATION AND NURSING LLC
- Doing business as
- NASSAWADOX REHABILITATION AND NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1993
- Last certification
- May 20, 2022
- Beds
- 145
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Eastern Healthcare Group
- Most recent change of ownership
- Mar 1, 2022
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 14, 2021 in VA
- Enrollment address
- 9468 Hospital Road NW
Nassawadox, VA 23413 - Nursing home name
- NASSAWADOX REHABILITATION AND NURSING
- Affiliated entity
- EASTERN HEALTHCARE GROUP
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| VA SNF Operations Holdings LLC |
5% Or Greater Direct Ownership Interest | Jan 31, 2024 | 100% |
| Ydi Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | Jan 31, 2024 | 100% |
| Ydi Eastern Holdco LLC |
5% Or Greater Indirect Ownership Interest | Jan 31, 2024 | 50% |
| Akiva Shapiro |
Corporate Officer |
Mar 1, 2022 | |
| JJ United TR |
5% Or Greater Indirect Ownership Interest | Jan 31, 2024 | 50% |
| Tenille M Taylor |
W-2 Managing Employee |
Mar 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220505001106 | VA | Part a Provider - Skilled Nursing Facility | 7517354889 | Practice locations: Nassawadox, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
9468 Hospital Road NW
Nassawadox, VA 23413
Mailing address
9468 Hospital Road NW
Nassawadox, VA 23413
Other providers in Nassawadox, VA
- Robert Joseph Miller
- Federico Fernando Molera
- Christopher Joseph Mueller
- Nassawadox Life Care, LLC
- Nassawadox Life Care, LLC
- Nassawadox VA Opco LLC
- National Alternative Community Health Center, LLC
- Northampton Fire & Rescue Inc
- Northampton Radiology PC
- Obstetrics and Gynecology Associates of the Eastern Shore, Inc.
All providers in Nassawadox, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. 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.