Ayer Valley Rehab and Nursing LLC
Organization Active NPI Skilled Nursing Facility · Ayer, MA
NPI 1316624141 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1316624141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AYER VALLEY REHAB AND NURSING LLC
- Practice address
- 400 Groton Rd
Ayer, MA 01432-1171 - Phone
- (978) 772-1704
- Fax
- (978) 772-1708
- NPI assigned
- Jul 3, 2023
- Organization subpart
- No
Authorized official
- Name
- Benjamin Friedman
- Title
- Cfo
- Phone
- (845) 414-3300
Owners & managing parties with NPI records 2
-
Claes M Nilsson, MD
Facilities with the same owner 22
Practitioners 6
-
Chidi C Achebe, M.D.
-
Anthony Clive Bartley, M.D.
-
Aqib Chaudhry, MD
-
Claes M Nilsson, MD
-
Sandhya D Rao, MD
Affiliated clinicians 2
-
Aqib Chaudhry, MD
Medicare Care Compare: Nursing home
- Listed as
- Ayer Valley Rehab and Nursing
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1990
- Medicare certification status
- Active
- Certified beds
- 123 · 101.4 residents per day on average
- Chain
- Stern Consultants
- Penalties (3 years)
- 2 · fines totaling $63,034
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0879709 | Ayer Valley Rehab and Nursing LLC | Certificate of waiver | Dec 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Skilled nursing facility certification: CCN 225421
- Legal name
- AYER VALLEY REHAB AND NURSING LLC
- Doing business as
- AYER VALLEY PROPCO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1990
- Last certification
- Mar 13, 2025
- Beds
- 123
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Stem Rehab Consultants
- Most recent change of ownership
- Oct 16, 2023
- Organization structure
- LLC · Proprietary
- Incorporated
- May 23, 2023 in MA
- Enrollment address
- 400 Groton Rd
Ayer, MA 01432-1171 - Nursing home name
- AYER VALLEY REHAB AND NURSING
- Affiliated entity
- STERN CONSULTANTS
All disclosed owners & managing parties 29
| Name | Role | Since | Share |
|---|---|---|---|
| Tlco Holdings LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 20% |
| Operational/Managerial Control | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| |
Adp of the SNF | Jul 6, 2025 | |
| |
Trustee of the SNF | Oct 16, 2023 | |
| |
Direct Ownership Interest | Oct 16, 2023 | 1.33% |
| Indirect Ownership Interest | Oct 16, 2023 | 1.33% | |
| Boruch Sheps |
5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 14.5% |
| Operational/Managerial Control | Oct 16, 2023 | ||
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Avraham Erblich |
5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 13.5% |
| Operational/Managerial Control | Oct 16, 2023 | 100% | |
| Managing Control - Governing Body | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Chaim Millman |
Operational/Managerial Control | Oct 16, 2023 | |
| Managing Control - Governing Body |
Oct 16, 2023 | ||
| Trustee of the SNF | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Indirect Ownership Interest | Oct 16, 2023 | 0.01% | |
| |
Adp of the SNF | Oct 16, 2023 | |
| Direct Ownership Interest | Oct 16, 2023 | 1% | |
| Claes M Nilsson |
Operational/Managerial Control | Oct 16, 2023 | |
| Managing Control - Governing Body |
Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| |
Indirect Ownership Interest | Oct 16, 2023 | 0.67% |
| Benjamin Friedman |
Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 3.5% | |
| Brittany Beatty |
Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Direct Ownership Interest | Oct 16, 2023 | 2% | |
| Etn Family Holdings LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 20% |
| Operational/Managerial Control | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Bezalel Stern |
5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 9% |
| Adp of the SNF | Oct 16, 2023 | ||
| T Newhouse Family Trust |
5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 | ||
| |
Adp of the SNF | Oct 16, 2023 | |
| Direct Ownership Interest | Oct 16, 2023 | 1% | |
| Ayer Valley Propco LLC |
Adp of the SNF | Oct 16, 2023 | |
| Eric Newhouse |
Operational/Managerial Control | Oct 16, 2023 | |
| Managing Control - Governing Body |
Oct 16, 2023 | ||
| Trustee of the SNF | Oct 16, 2023 | ||
| Adp of the SNF | Oct 16, 2023 | ||
| Indirect Ownership Interest | Oct 16, 2023 | 0.01% | |
| |
Adp of the SNF | Jul 6, 2025 | |
| Shana Friedman |
5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 11.5% |
| Com Family Trust |
5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 | ||
| Andrea Plew |
Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Stern Therapy Consultants LLC |
Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Jul 6, 2025 | ||
| |
Adp of the SNF | Jul 6, 2025 | |
| TLM Family Trust |
5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 | ||
| |
Direct Ownership Interest | Oct 16, 2023 | 2% |
| |
Trustee of the SNF | Oct 16, 2023 | |
| Joshua Cambridge |
Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| E Newhouse Family Trust |
5% Or Greater Indirect Ownership Interest | Oct 16, 2023 | 10.4% |
| Adp of the SNF | Oct 16, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231030003450 | MA | Part a Provider - Skilled Nursing Facility | 7618323452 | Practice locations: Ayer, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
400 Groton Rd
Ayer, MA 01432-1171
Mailing address
7B Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 414-3300
Other providers in Ayer, MA
- Ayer Integrative Therapies
- Ayer Integrative Therapies
- Ayer Pharmacy Inc.
- Ayer Pharmacy Inc.
- Ayer Shirley Regional School District
- Dawn Baird
- Mary L Bakalos
- Steven Charles Balser
- Behavioral Milestones
- Marie G Bennett
All providers in Ayer, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. 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.