Northern Cardinal Rehabilitation and Nursing LLC
Organization Active NPI Skilled Nursing Facility · Suffolk, VA
NPI 1548028285 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1548028285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NORTHERN CARDINAL REHABILITATION AND NURSING LLC
- Practice address
- 4775 Bridge Rd
Suffolk, VA 23435-2045 - Phone
- (757) 686-0488
- NPI assigned
- Mar 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Akiva Shapiro
- Title
- Coo
- Phone
- (201) 581-6622
Owners & managing parties with NPI records 1
Facilities with the same owner 78
Practitioners 1
Affiliated clinicians 1
-
Nabil Tadros, MD
Medicare Care Compare: Nursing home
- Listed as
- Northern Cardinal Rehabilitation and Nursing
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 15, 1989
- Medicare certification status
- Active
- Certified beds
- 120 · 108.7 residents per day on average
- Chain
- Eastern Healthcare Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495206
- Legal name
- NORTHERN CARDINAL REHABILITATION AND NURSING LLC
- Doing business as
- NORTHERN CARDINAL REHABILITATION AND NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 15, 1989
- Last certification
- Apr 14, 2023
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- EASTERN HEALTH CARE GROUP
- Most recent change of ownership
- Dec 1, 2021
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 1, 2024 in VA
- Enrollment address
- 4775 Bridge Rd
Suffolk, VA 23435-2045 - Nursing home name
- NORTHERN CARDINAL REHABILITATION AND NURSING
- Affiliated entity
- EASTERN HEALTHCARE GROUP
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| VA SNF Operations Holdings LLC |
5% Or Greater Direct Ownership Interest | May 1, 2024 | 100% |
| Operational/Managerial Control | May 1, 2024 | ||
| Amir Hajimomenian |
Operational/Managerial Control | Dec 28, 2023 | |
| Ydi Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| Operational/Managerial Control | May 1, 2024 | ||
| VA 15 Mezz Borrower II LLC |
Adp of the SNF | May 1, 2024 | |
| Ydi Eastern Holdco LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| Indirect Ownership Interest | May 1, 2024 | 50% | |
| Zanziper Family Trust |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| Northwind Healthcare Debt Fund II Master Reit LP |
5% Or Greater Security Interest | May 1, 2024 | 28% |
| VA 15 Propco Holdco II LLC |
Adp of the SNF | May 1, 2024 | |
| Northern Cardinal Propco LLC |
Adp of the SNF | May 1, 2024 | |
| Akiva Shapiro |
Corporate Officer |
May 1, 2024 | |
| Operational/Managerial Control | May 1, 2024 | ||
| Natalie Zanziper |
Adp of the SNF | May 1, 2024 | |
| Deutsche Bank New York Branch |
5% Or Greater Security Interest | May 1, 2024 | 72% |
| JJ United TR |
5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| Operational/Managerial Control | May 1, 2024 | ||
| Adp of the SNF | May 1, 2024 | ||
| HC Family Trust |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| Yehuda Gittleson |
Operational/Managerial Control | May 1, 2024 | |
| VA SNF Master Consulting LLC |
Operational/Managerial Control | May 1, 2024 | |
| Jamie Chard |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Layla Gittleson |
Adp of the SNF | May 1, 2024 | |
| Nechama Sommer |
Operational/Managerial Control | May 1, 2024 | |
| VA SNF Realty Holdings 1 LLC |
Adp of the SNF | May 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240821001427 | VA | Part a Provider - Skilled Nursing Facility | 4880132802 | Practice locations: Suffolk, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
4775 Bridge Rd
Suffolk, VA 23435-2045
Mailing address
4775 Bridge Rd
Suffolk, VA 23435-2045
Phone (757) 686-0488
Other names
- Northern Cardinal Rehabilitation and Nursing
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 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.