Blumenthal Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLUMENTHAL OPERATOR LLC

Doing business as

Blumenthal Health and Rehabilitation Center

Practice address

3724 Wireless Dr
Greensboro, NC 27455-3312

Phone

(336) 540-9991

NPI assigned

Mar 27, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Neiswanger

Title

Authorized Agent

Phone

(336) 540-9991

Specialties & licenses 1

Addresses

Other names 1

• Blumenthal Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417708652. Details of each certification follow.

• CCN 345006 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345006

Legal name

BLUMENTHAL OPERATOR LLC

Doing business as

BLUMENTHAL HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Nov 1, 2024

Beds

134

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Medical Facilities of America

Organization structure

LLCProprietary

Enrollment address

3724 Wireless Drive
Greensboro, NC 27455-3312

Nursing home name

BLUMENTHAL HEALTH AND REHABILITATION CENTER

Affiliated entity

LIFEWORKS REHAB

Listed as

Blumenthal Health and Rehabilitation CenterCCN 345006 · All quality measures

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

134111.2 residents per day on average

Chain

Lifeworks Rehab64 facilities in the chain

Special focus status

SFF

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $210,325

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 41

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Tasrif Ahmed, M.D.

  • Internal Medicine Physician
  • Dunn, NC
  • NPI 1356728851

  Adp of the SNF

  CMS ownership
• Christopher Johnson, DPT

  • Physical Therapist
  • Browns Summit, NC
  • NPI 1861800542

  Corporate Officer

  CMS ownership
• Julius Chamberlain Shayo, NP-C

  • Primary Care Nurse Practitioner
  • Holly Springs, NC
  • NPI 1750927018

  Corporate Officer

  CMS ownership

Facilities with the same owner 5

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

• Concord Operator LLC

  dba Cabarrus Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Concord, NC
  • NPI 1215788468

  Bridgewater NC Holdings LLC, HL Family Trust, Ib Mimi 2022 Family Trust, JK 2022 Grantor Family Trust, Milano Family Holdings LLC, ML Milano 2022 Family Trust, TJ Family Trust, Tol Opco Investco LLC, Uh Carolina SNF Operations Holdings LLC, Unive

  CMS ownership
• Lenoir Operator LLC

  dba Lenoir Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Lenoir, NC
  • NPI 1881445047

  Bridgewater NC Holdings LLC, HL Family Trust, Ib Mimi 2022 Family Grantor Trust, Ib Mimi 2022 Family Trust, JK 2022 Grantor Family Trust, Milano Family Holdings LLC, ML Milano 2022 Family Grantor Trust, ML Milano 2022 Family Trust, TJ Family Trust

  CMS ownership
• Lake Harriet Operator LLC

  dba Lake Harriet Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1407560832

  Ib Mimi 2022 Family Trust, ML Milano 2022 Family Trust

  CMS ownership
• Pike Creek SNF Operator LLC

  • Skilled Nursing Facility
  • Wilmington, DE
  • NPI 1285311860

  Ib Mimi 2022 Family Trust, ML Milano 2022 Family Trust

  CMS ownership
• Wilmington SNF Operator LLC

  • Skilled Nursing Facility
  • Wilmington, DE
  • NPI 1255018842

  Ib Mimi 2022 Family Trust, ML Milano 2022 Family Trust

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tasrif Ahmed, M.D.

  • Internal Medicine Physician
  • Dunn, NC
  • NPI 1356728851

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1417708652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 WIRELESS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553312",
            "telephone_number": "336-540-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 WIRELESS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553312",
            "telephone_number": "336-540-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUMENTHAL OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NEISWANGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "336-540-9991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blumenthal Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Health Services (Your Best Friend)
• Blue Skies Health Care, Inc.
• Brittany P Blue, DDS
• Soijett Alantra Blue
• Blueprint Technologies, Inc (Bpti Healthcare)
• Maria Barton Blust, RN
• Brittni Nicole Bly, DPT
• Melanie McNeely Boatwright, GNP
• Karen M. Flesner Bobalik, PT
• Bobbie L. Bingham, Ma, LPC, PLLC

• Skilled Nursing Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.