Active NPI
Tri Cities SNF Operations LLC
Doing business as Tri Cities Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Cumberland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TRI CITIES SNF OPERATIONS LLC
- Doing business as
- Tri Cities Rehabilitation and Healthcare Center
- Practice address
- 19101 N US Highway 119
Cumberland, KY 40823-8107 - Phone
- (606) 589-5421
- NPI assigned
- Jul 16, 2025
- Last updated
- Feb 4, 2026
- Organization subpart
- Yes
- Parent organization
- TRI CITIES SNF OPERATIONS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Menucha Goodman
- Title
- Authorized Official
- Phone
- (848) 201-8402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
19101 N US Highway 119
Cumberland, KY 40823-8107
Mailing address
19101 N US Highway 119
Cumberland, KY 40823-8107
Other names 1
- Tri Cities Rehabilitation and Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260128001534 | KY | Part A Provider - Skilled Nursing Facility | 3577041904 | Practice locations: Cumberland, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366334377. Details of each certification follow.
Skilled nursing facility certification: CCN 185433
- Legal name
- TRI CITIES SNF OPERATIONS LLC
- Doing business as
- TRI CITIES REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 6, 1997
- Last certification
- Oct 10, 2024
- Beds
- 85
- Ownership / control type
- Corporation
- Multi-facility organization
- Venza Care
- Most recent change of ownership
- Jan 1, 2011
- Organization structure
- LLC
- Enrollment address
- 19101 N US Highway 119
Cumberland, KY 40823-8107 - Nursing home name
- TRI CITIES REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- VENZA CARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tri Cities Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 6, 1997
- Medicare certification status
- Active
- Certified beds
- 85
- Chain
- Venza Care Management
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 18D0980427 | Tri Cities Rehabilitation and Healthcare Center | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider Directory- Part of
- Tri Cities SNF Operations LLC
Ownership & related parties
All disclosed owners & managing parties 46
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 |
|---|---|---|---|
| Tri Cities SNF Realty LLC | Adp of the SNF | Sep 4, 2025 | |
| Ky Realty Holdings LLC | Adp of the SNF | Sep 4, 2025 | |
| Oakwood Investment Management LLC | Indirect Ownership Interest | Sep 4, 2025 | 2.5% |
| Ky SNF Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 22% |
| Indirect Ownership Interest | Sep 4, 2025 | ||
| Ms Commonwealth Propco Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | |
| Ms Commonwealth Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 4, 2025 | 24.25% |
| Indirect Ownership Interest | Sep 4, 2025 | 2% | |
| Joel Strulovics | Indirect Ownership Interest | Sep 4, 2025 | 1% |
| Martin Grossman | Operational/Managerial Control | Sep 3, 2025 | |
| Adp of the SNF | Sep 3, 2025 | ||
| Shmuel Serle | Trustee of the SNF | Sep 4, 2025 | |
| Commonwealth SNF Realty Holdings Parent LLC | Adp of the SNF | Sep 4, 2025 | |
| Indirect Ownership Interest | Sep 4, 2025 | 2% | |
| Venza Care Clinical Consulting Ky LLC | Operational/Managerial Control | Sep 4, 2025 | |
| Adp of the SNF | Sep 4, 2025 | ||
| S Melb Propco LLC | Adp of the SNF | Sep 4, 2025 | |
| Venza Care Administrative Services Ky LLC | Operational/Managerial Control | Sep 4, 2025 | |
| Adp of the SNF | Sep 4, 2025 | ||
| CH Commonwealth Propco Holdings LLC | Adp of the SNF | Sep 4, 2025 | |
| Computershare Corporate Trust Company, NA | 5% Or Greater Mortgage Interest | Sep 4, 2025 | 80% |
| Adp of the SNF | Sep 4, 2025 | ||
| M Melb Propco LLC | Adp of the SNF | Sep 4, 2025 | |
| SS Commonwealth Propco Holdings LLC | Adp of the SNF | Sep 4, 2025 | |
| SS Commonwealth Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 24.5% |
| Paul Wilder | Operational/Managerial Control | Sep 4, 2025 | |
| Managing Control - Governing Body | Sep 4, 2025 | ||
| Adp of the SNF | Sep 4, 2025 | ||
| Jennifer Soldevilla | Managing Control - Governing Body | Sep 4, 2025 | |
| Adp of the SNF | Sep 4, 2025 | ||
| Ky SNF Associates Trust | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 21.75% |
| Ky Realty Holdings Trust | Adp of the SNF | Sep 4, 2025 | |
| Suzanna I Gwin | Adp of the SNF | Sep 3, 2025 | |
| Indirect Ownership Interest | Sep 4, 2025 | 2% | |
| S Melb Propco Trust | Adp of the SNF | Sep 4, 2025 | |
| Indirect Ownership Interest | Sep 4, 2025 | 2.5% | |
| Ky SNF Holdings Trust | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 22% |
| CW Commonwealth Propco Holdings LLC | Adp of the SNF | Sep 4, 2025 | |
| Indirect Ownership Interest | Sep 4, 2025 | 2% | |
| Indirect Ownership Interest | Sep 4, 2025 | 2.5% | |
| Commonwealth SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 4, 2025 | 100% |
| Amanda Steffy | Managing Control - Governing Body | Sep 4, 2024 | |
| Adp of the SNF | Sep 3, 2025 | ||
| Adam Madison | Operational/Managerial Control | Sep 3, 2025 | |
| Adp of the SNF | Sep 3, 2025 | ||
| Vertex Financial Services Ky LLC | Operational/Managerial Control | Sep 4, 2025 | |
| Adp of the SNF | Sep 4, 2025 | ||
| CH Commonwealth Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 22% |
| Cibc Bank USA | 5% Or Greater Security Interest | Sep 4, 2025 | 10% |
| Adp of the SNF | Sep 4, 2025 | ||
| Menucha Goodman | Corporate Officer | Sep 4, 2025 | |
| Operational/Managerial Control | Sep 4, 2025 | ||
| Ky Realty Associates Trust | Adp of the SNF | Sep 4, 2025 | |
| Ky SNF Associates LLC | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 21.75% |
| Commonwealth SNF Realty Holdings LLC | Adp of the SNF | Sep 4, 2025 | |
| Ky Realty Associates LLC | Adp of the SNF | Sep 4, 2025 | |
| CW Commonwealth Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 4, 2025 | 21.75% |
| Samuel Koppel | Trustee of the SNF | Sep 4, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1154384774
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Essex Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Louisville, KY
- NPI 1275425258
Commonwealth SNF Operations Holdings LLC, CW Commonwealth Holdings LLC, Ky SNF Associates LLC, Ky SNF Associates Trust, Ky SNF Holdings LLC, Ky SNF Holdings Trust, Ms Commonwealth Holdings LLC, SS Commonwealth Holdings LLC, Venza Care Administrati
-
dba Rivers Edge Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Prospect, KY
- NPI 1487546487
CH Commonwealth Holdings LLC, Commonwealth SNF Operations Holdings LLC, CW Commonwealth Holdings LLC, Ky SNF Associates Trust, Ky SNF Holdings LLC, Ky SNF Holdings Trust, Ms Commonwealth Holdings LLC, SS Commonwealth Holdings LLC, Venza Care Admin
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1366334377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19101 N US HIGHWAY 119",
"city": "CUMBERLAND",
"state": "KY",
"postal_code": "408238107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19101 N US HIGHWAY 119",
"city": "CUMBERLAND",
"state": "KY",
"postal_code": "408238107",
"telephone_number": "606-589-5421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI CITIES SNF OPERATIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRI CITIES SNF OPERATIONS LLC",
"enumeration_date": "2025-07-16",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "MENUCHA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "848-201-8402"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri Cities Rehabilitation and Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cumberland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.