Organization Active NPI

Tri Cities SNF Operations LLC

Doing business as Tri Cities Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Cumberland, KY
National Provider Identifier
1366334377
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI CITIES SNF OPERATIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 185433 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 6, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8563.2 residents per day on average
Chain
Venza Care Management25 facilities in the chain
Penalties (3 years)
1Fines totaling $5,346

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
18D0980427Tri Cities Rehabilitation and Healthcare Center19101 US 119, Cumberland, KY 40823Certificate of waiverNov 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.

NameRoleSinceShare
Tri Cities SNF Realty LLC Organization, Lakewood, NJ LLC Adp of the SNF Sep 4, 2025
Ky Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Oakwood Investment Management LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Sep 4, 2025 2.5%
Ky SNF Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Sep 4, 2025
Ms Commonwealth Propco Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025
Ms Commonwealth Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 4, 2025 24.25%
Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Sep 4, 2025 2%
Joel Strulovics Individual Indirect Ownership Interest Sep 4, 2025 1%
Martin Grossman Individual Operational/Managerial Control Sep 3, 2025
Adp of the SNF Sep 3, 2025
Shmuel Serle Individual Trustee of the SNF Sep 4, 2025
Commonwealth SNF Realty Holdings Parent LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2%
Venza Care Clinical Consulting Ky LLC Organization, Lakewood, NJ LLC, Consulting firm Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
S Melb Propco LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Venza Care Administrative Services Ky LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
CH Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Computershare Corporate Trust Company, NA Organization, Canton, MA Corporation, Financial institution 5% Or Greater Mortgage Interest Sep 4, 2025 80%
Adp of the SNF Sep 4, 2025
M Melb Propco LLC Organization, Lakewood, NJ LLC Adp of the SNF Sep 4, 2025
SS Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
SS Commonwealth Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 24.5%
Paul Wilder Individual Operational/Managerial Control Sep 4, 2025
Managing Control - Governing Body Sep 4, 2025
Adp of the SNF Sep 4, 2025
Jennifer Soldevilla Individual Managing Control - Governing BodyRegional Manager Sep 4, 2025
Adp of the SNF Sep 4, 2025
Ky SNF Associates Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 4, 2025 21.75%
Ky Realty Holdings Trust Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Suzanna I Gwin Individual Adp of the SNF Sep 3, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2%
S Melb Propco Trust Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2.5%
Ky SNF Holdings Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
CW Commonwealth Propco Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Organization, Lakewood, NJ LLC, Holding company Indirect Ownership Interest Sep 4, 2025 2%
Organization, Lakewood, NJ Indirect Ownership Interest Sep 4, 2025 2.5%
Commonwealth SNF Operations Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 4, 2025 100%
Amanda Steffy Individual Managing Control - Governing BodyRegional Nurse Sep 4, 2024
Adp of the SNF Sep 3, 2025
Adam Madison Individual Operational/Managerial Control Sep 3, 2025
Adp of the SNF Sep 3, 2025
Vertex Financial Services Ky LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Sep 4, 2025
Adp of the SNF Sep 4, 2025
CH Commonwealth Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 22%
Cibc Bank USA Organization, Chicago, IL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Sep 4, 2025 10%
Adp of the SNF Sep 4, 2025
Menucha Goodman Individual Corporate OfficerManager Sep 4, 2025
Operational/Managerial Control Sep 4, 2025
Ky Realty Associates Trust Organization, Lakewood, NJ Adp of the SNF Sep 4, 2025
Ky SNF Associates LLC Organization, Lakewood, NJ Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2025 21.75%
Commonwealth SNF Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
Ky Realty Associates LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Sep 4, 2025
CW Commonwealth Holdings LLC Organization, Lakewood, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 4, 2025 21.75%
Samuel Koppel Individual 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.

Facilities with the same owner 2

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

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

Verify at the official NPI Registry.