NPIMap

Organization Active NPI

Birchwood Park Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Virginia Beach, VA
National Provider Identifier
1396494571
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BIRCHWOOD PARK REHABILITATION AND NURSING LLC
Practice address
340 Lynn Shores Dr
Virginia Beach, VA 23452-2416
Phone
(757) 340-6611
NPI assigned
Mar 23, 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
(201) 581-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

340 Lynn Shores Dr
Virginia Beach, VA 23452-2416

Mailing address

340 Lynn Shores Dr
Virginia Beach, VA 23452-2416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124001854 VA Part A Provider - Skilled Nursing Facility 6305217662 Practice locations: Virginia Beach, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396494571. Details of each certification follow.

Skilled nursing facility certification: CCN 495150

Legal name
BIRCHWOOD PARK REHABILITATION AND NURSING LLC
Doing business as
BIRCHWOOD PARK REHABILITATION AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1984
Last certification
Dec 19, 2024
Beds
150
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
340 Lynn Shores Dr
Virginia Beach, VA 23452-2416
Nursing home name
BIRCHWOOD PARK REHABILITATION
Affiliated entity
EASTERN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Birchwood Park RehabilitationCCN 495150 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150136.1 residents per day on average
Chain
Eastern Healthcare Group18 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $131,178

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
49D0228730Birchwood Park Rehabilitation and Nursing340 Lynn Shores Drive, Virginia Beach, VA 23452Certificate of waiverMar 24, 2027

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 Officer Mar 1, 2022
W-2 Managing EmployeeAdministrator Mar 1, 2022
JJ United TR Organization, Clifton, NJ For-profit 5% Or Greater Indirect Ownership Interest Jan 31, 2024 50%
Nakia Whitley Individual W-2 Managing EmployeeAdministrator Mar 27, 2023

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1396494571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LYNN SHORES DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LYNN SHORES DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522416",
            "telephone_number": "757-340-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD PARK REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "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": "201-581-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.