Active NPI
Shenandoah Opco LLC
Doing business as Shenandoah Senior Living Community
- Skilled Nursing Facility
- Shenandoah, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SHENANDOAH OPCO LLC
- Doing business as
- Shenandoah Senior Living Community
- Practice address
- 101 E Washington St
Shenandoah, PA 17976-1701 - Phone
- (848) 757-0500
- NPI assigned
- Jul 14, 2022
- Last updated
- Jul 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Glatzer
- Title
- Authorized Representative
- Phone
- (848) 757-0550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
101 E Washington St
Shenandoah, PA 17976-1701
Mailing address
101 E Washington St
Shenandoah, PA 17976-1701
Other names 1
- Shenandoah Senior Living Community
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230531000820 | PA | Part A Provider - Skilled Nursing Facility | 9537526975 | Practice locations: Shenandoah, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407580442. Details of each certification follow.
Skilled nursing facility certification: CCN 395556
- Legal name
- SHENANDOAH OPCO LLC
- Doing business as
- SHENANDOAH SENIOR LIVING COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1982
- Last certification
- Sep 13, 2024
- Beds
- 119
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jun 2, 2022 in PA
- Enrollment address
- 101 E Washington Street
Shenandoah, PA 17976-1701 - Nursing home name
- SHENANDOAH SENIOR LIVING COMMUNITY
- Affiliated entity
- CEDAR VIEW HOLDINGS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Shenandoah Senior Living Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1982
- Medicare certification status
- Active
- Certified beds
- 119
- Chain
- Cedar View Holdings
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Gabriel J Sebbag | 5% Or Greater Indirect Ownership Interest | Jan 31, 2023 | 5% |
| Asher Leiser | 5% Or Greater Indirect Ownership Interest | Jan 31, 2023 | 5% |
| Corporate Officer | Jan 31, 2023 | 100% | |
| Corporate Director | Jan 31, 2023 | 100% | |
| Diana D Lazur | Operational/Managerial Control | Jan 31, 2023 | |
| Adp of the SNF | May 12, 2025 | ||
| Priority Care Group LLC | Operational/Managerial Control | Jan 31, 2023 | |
| 101 E Washington Propco LLC | Adp of the SNF | Jan 31, 2023 | |
| John Tarson | Operational/Managerial Control | Sep 19, 2023 | |
| Apostrophe Opco LLC | 5% Or Greater Direct Ownership Interest | Jan 31, 2023 | 100% |
| 3 Eagles LLC | Indirect Ownership Interest | Jan 31, 2023 | 2.5% |
| Summation Financial Services LLC | Operational/Managerial Control | Jan 31, 2023 | |
| Adp of the SNF | Apr 9, 2025 | ||
| Clinical Consulting Services LLC | Operational/Managerial Control | Jan 31, 2023 | |
| Adp of the SNF | Apr 9, 2025 | ||
| Samara Family Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 31, 2023 | 43.75% |
| Cedar View Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 31, 2023 | 43.75% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1144292764
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 30
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Athens, PA
- NPI 1720743370
Cedar View Holdings LLC, Clinical Consulting Services LLC, Priority Care Group LLC, Samara Family Holdings LLC, Summation Financial Services LLC
-
dba Colonial Manor for Nursing and Rehabilitation
- Skilled Nursing Facility
- York, PA
- NPI 1386215325
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Forest City, PA
- NPI 1548729619
Clinical Consulting Services LLC, Priority Care Group LLC, Samara Family Holdings LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Tamaqua, PA
- NPI 1477287407
Apostrophe Opco LLC, Cedar View Holdings LLC, Clinical Consulting Services LLC, Priority Care Group LLC, Samara Family Holdings LLC, Summation Financial Services LLC
-
dba Hanover Hall for Nursing and Rehabilitation
- Skilled Nursing Facility
- Hanover, PA
- NPI 1467023408
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1326537648
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
- Skilled Nursing Facility
- Reading, PA
- NPI 1942799267
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba Neffsville Nursing and Rehabilitation
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1457922494
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba The Gardens at Stevens
- Skilled Nursing Facility
- Stevens, PA
- NPI 1649631201
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba The Gardens at Easton
- Skilled Nursing Facility
- Easton, PA
- NPI 1275994832
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba The Gardens at Millville
- Skilled Nursing Facility
- Millville, PA
- NPI 1043672520
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
-
dba The Gardens at Orangeville
- Skilled Nursing Facility
- Orangeville, PA
- NPI 1629439203
Clinical Consulting Services LLC, Priority Care Group LLC, Summation Financial Services LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1144292764
Affiliated clinicians 2
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": "1657756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1407580442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E WASHINGTON ST",
"city": "SHENANDOAH",
"state": "PA",
"postal_code": "179761701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WASHINGTON ST",
"city": "SHENANDOAH",
"state": "PA",
"postal_code": "179761701",
"telephone_number": "848-757-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHENANDOAH OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "GLATZER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "848-757-0550"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shenandoah Senior Living Community",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shenandoah, PA
- RXD of Shenandoah
- Nancy Kathryn Sammartino, D.D.S.
- Brittany Marie Schenck
- Shenandoah Community Ambulance Association
- Shenandoah Heights Healthcare LLC (Ridgeview Healthcare & Rehab Center)
- Shenandoah Valley School District
- Sasha W Sherry
- Smnrc, LP (Shenandoah Manor Nursing Center)
- Yalixsa Then, FNP-BC
- Trinity Mission of Shenandoah Heights, LLC (Trinity Mission Health & Rehab of Shenandoah Heights)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.