Wilson Opco LLC
Organization Active NPI Skilled Nursing Facility · Wilson, NC
NPI 1457090128 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1457090128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- WILSON OPCO LLC
- Practice address
- 2501 Downing St SW
Wilson, NC 27893-4517 - Phone
- (252) 237-6300
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Tzvi Alter
- Title
- Ceo
- Phone
- (908) 506-4204
Facilities with the same owner 62
Practitioners 1
-
Farasat Iqbal Ashraf, M.D.
Affiliated clinicians 1
-
Farasat Iqbal Ashraf, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Wilson Healthcare and Rehabilitation Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 9, 1990
- Medicare certification status
- Active
- Certified beds
- 81 · 92.1 residents per day on average
- Chain
- Simcha Hyman & Naftali Zanziper
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345332
- Legal name
- WILSON OPCO LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 9, 1990
- Last certification
- Jan 13, 2025
- Beds
- 99 (81 certified)
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- May 18, 2022 in NC
- Enrollment address
- 2501 Downing St SW
Wilson, NC 27893-4517 - Nursing home name
- WILSON HEALTHCARE AND REHABILITATION CENTER
- Affiliated entity
- SIMCHA HYMAN & NAFTALI ZANZIPER
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Tzvi Alter |
5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 80% |
| Corporate Director | Jul 1, 2022 | ||
| James Carlone |
W-2 Managing Employee |
Jul 1, 2022 | |
| Zanziper Family Trust |
5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 10% |
| NC East Holding LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 100% |
| HC Family Trust |
5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 10% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230217001864 | NC | Part a Provider - Skilled Nursing Facility | 0143692285 | Practice locations: Wilson, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2501 Downing St SW
Wilson, NC 27893-4517
Mailing address
311 Boulevard of the Americas
Suite 504
Lakewood, NJ 08701
Phone (908) 506-4204
Other providers in Wilson, NC
- Wilson Medical Group, PLLC
- Wilson NC Opco LLC
- Wilson Nephrology-Internal Medicine PA
- Wilson OB/GYN, P.a.
- Wilson Obstetrics, Gynecology & Infertility, Inc
- Wilson Orthopaedic Surgery & Neurology Center PA
- Wilson Pediatric Dentistry
- Wilson Podiatry Associates, PA
- Wilson Professional Services Treatment Center
- Wilson Psychiatric Associates, P.L.L.C.
All providers in Wilson, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.