906 Thompson Street Opco LLC
Organization Active NPI Skilled Nursing Facility · Ashland, VA
NPI 1467260752 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1467260752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 906 THOMPSON STREET OPCO LLC
- Practice address
- 906 Thompson St
Ashland, VA 23005-1128 - Phone
- (804) 798-3291
- NPI assigned
- Dec 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Tiffany Hoback
- Title
- Manager
- Phone
- (770) 698-9040
Owners & managing parties with NPI records 1
Facilities with the same owner 42
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Ashland Nursing and Rehabilitation
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 8, 2002
- Medicare certification status
- Active
- Certified beds
- 190 · 157.4 residents per day on average
- Chain
- Avardis Health
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $36,491
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0692715 | 906 Thompson Street Opco LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495362
- Legal name
- 906 THOMPSON STREET OPCO LLC
- Doing business as
- ASHLAND NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 8, 2002
- Last certification
- Feb 9, 2024
- Beds
- 190
- Ownership / control type
- Corporation
- Multi-facility organization
- Consulate Healthcare
- Most recent change of ownership
- Jun 1, 2025
- Organization structure
- LLC
- Enrollment address
- 906 Thompson St
Ashland, VA 23005-1128 - Nursing home name
- ASHLAND NURSING AND REHABILITATION
- Affiliated entity
- AVARDIS HEALTH
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Shalandrea Jordan McCain |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Nu C II Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 50% |
| |
Adp of the SNF | Apr 16, 2025 | |
| Ashland Parentco LLC |
5% Or Greater Direct Ownership Interest | May 1, 2025 | 100% |
| SNF Care Centers LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 100% |
| Devon Palmer |
Operational/Managerial Control | Mar 4, 2026 | |
| Adp of the SNF | Mar 4, 2026 | ||
| NTS Holdco LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 100% |
| |
Adp of the SNF | Apr 26, 2025 | |
| SNF MGR LLC |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | Apr 16, 2025 | ||
| Waseem Ghannam |
Operational/Managerial Control | Apr 1, 2026 | |
| Adp of the SNF | Apr 1, 2026 | ||
| |
Adp of the SNF | Apr 21, 2025 | |
| Vaop Holdco LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 100% |
| Zenith Holdco II LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 100% |
| |
Adp of the SNF | Apr 16, 2025 | |
| Tiffany Hoback |
Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Zenith Holdco LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 100% |
| Ohi Assets (VA) Ashland, LLC |
5% Or Greater Security Interest | May 1, 2025 | 100% |
| Adp of the SNF | May 1, 2025 | ||
| Tequilla Jones |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Daniel Morgan |
Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Nu C Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2025 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250812003206 | VA | Part a Provider - Skilled Nursing Facility | 3476051004 | Practice locations: Ashland, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
906 Thompson St
Ashland, VA 23005-1128
Mailing address
906 Thompson St
Ashland, VA 23005-1128
Other names
- Ashland Nursing and Rehabilitation
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | Synergy Healthcare Services |
Other providers in Ashland, VA
- Bessem Ojong Adeso
- Air Park Medical & Occupational Health Services, Inc.
- Emily Albert
- Elizabeth Reeder Alexander
- Jennifer Alexander
All providers in Ashland, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. 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.