Lakeside VA SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKESIDE VA SNF OPERATIONS LLC

Doing business as

Lakeside Health & Rehabilitation

Practice address

2125 Hilliard Rd
Richmond, VA 23228-4600

Phone

(703) 379-7200

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By 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

Joseph Lieberman

Title

Vice President of Procurement

Phone

(646) 275-4510

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Health & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427769843. Details of each certification follow.

• CCN 495045 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495045

Legal name

LAKESIDE VA SNF OPERATIONS LLC

Doing business as

LAKESIDE HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 15, 1967

Last certification

Feb 28, 2024

Beds

194

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Feb 1, 2023

Organization structure

LLCProprietary

Incorporated

Nov 29, 2022 in NV

Enrollment address

2125 Hilliard Rd
Richmond, VA 23228-4600

Nursing home name

LAKESIDE HEALTH & REHABILITATION

Affiliated entity

HILL VALLEY HEALTHCARE

Listed as

Lakeside Health & RehabilitationCCN 495045 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 15, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

194189.3 residents per day on average

Chain

Hill Valley Healthcare43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 10

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

Facilities with the same owner 47

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

• Alexandria SNF Operations LLC

  dba Alexandria Health & Rehabilitation

  • Skilled Nursing Facility
  • Alexandria, VA
  • NPI 1346951761

  CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC

  CMS ownership
• Amherst SNF Operations LLC

  dba Fairmont Crossing Health and Rehab Center

  • Skilled Nursing Facility
  • Amherst, VA
  • NPI 1174297063

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Bedford SNF Operations LLC

  dba Oakwood Health and Rehab Center

  • Skilled Nursing Facility
  • Bedford, VA
  • NPI 1508530387

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Beth Sholom SNF Operations LLC

  dba Shalom Gardens Health & Rehabilitation

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1881388510

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Blue Ridge SNF Operations LLC

  dba Blue Ridge Therapy Connection

  • Skilled Nursing Facility
  • Stuart, VA
  • NPI 1013478411

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Carlin Springs SNF Operations LLC

  dba Carlin Springs Health & Rehabilitation

  • Skilled Nursing Facility
  • Arlington, VA
  • NPI 1700597127

  CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC

  CMS ownership
• Diamond Hill SNF Operations LLC

  dba Guggenheimer Health and Rehab Center

  • Skilled Nursing Facility
  • Lynchburg, VA
  • NPI 1679247563

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Evergreen SNF Operations LLC

  dba Evergreen Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Winchester, VA
  • NPI 1487221107

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Fair Oaks SNF Operations LLC

  dba Fair Oaks Health & Rehabilitation

  • Skilled Nursing Facility
  • Fairfax, VA
  • NPI 1972214393

  CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC

  CMS ownership
• Fork Union SNF Operations LLC

  dba Oakhurst Health & Rehabilitation

  • Skilled Nursing Facility
  • Fork Union, VA
  • NPI 1194441949

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Highland SNF Operations LLC

  dba Highland Ridge Rehab Center

  • Skilled Nursing Facility
  • Dublin, VA
  • NPI 1679034078

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Holly Manor SNF Operations LLC

  dba Holly Manor Rehab and Nursing

  • Skilled Nursing Facility
  • Farmville, VA
  • NPI 1235886607

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership

Affiliated clinicians 2

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

• Adam Wali Hamidi, D.O.

  • General Practice Physician
  • Salem, VA
  • NPI 1215241377

  Nursing home

  Care Compare affiliation
• Ather Iqbal, M.D.

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1093854259

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1427769843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HILLIARD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HILLIARD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284600",
            "telephone_number": "703-379-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE VA SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fred J Laine, M.D.
• Ian M Laing, CRNA
• Barbara B Laird, NP
• Holly R Lake-Walker, PHARMD
• Lakeside Senior Living Alf Operations LLC (Lakeside Senior)
• Lakewood Manor Baptist Retirement Community
• Sultan A Lakhani, MD
• Alex Canh Lam, DDS
• Lyna Chen Lam, DO
• Tony Kanchit Lam, MD

• Skilled Nursing Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.