NPIMap

Organization Active NPI

Nassawadox Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Nassawadox, VA
National Provider Identifier
1306587597
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Akiva Shapiro
Title
Coo
Phone
(015) 816-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9468 Hospital Road NW
Nassawadox, VA 23413

Mailing address

9468 Hospital Road NW
Nassawadox, VA 23413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505001106 VA Part A Provider - Skilled Nursing Facility 7517354889 Practice locations: Nassawadox, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306587597. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nassawadox Rehabilitation and NursingCCN 495277 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
145118.3 residents per day on average
Chain
Eastern Healthcare Group18 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
VA SNF Operations Holdings LLC Organization, Montvale, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 31, 2024 100%
Ydi Irrevocable Trust Organization, Clifton, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 100%
Ydi Eastern Holdco LLC Organization, Montvale, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 50%
Akiva Shapiro Individual Corporate OfficerCoo Mar 1, 2022
JJ United TR Organization, Clifton, NJ For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 50%
Tenille M Taylor Individual W-2 Managing EmployeeAdministrator Mar 1, 2022

Facilities with the same owner 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1306587597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9468 HOSPITAL ROAD NW",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9468 HOSPITAL ROAD NW",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-442-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAWADOX REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "015-816-6222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nassawadox, VA

Sources for this page

Verify at the official NPI Registry.