Organization Active NPI

Northern Cardinal Rehabilitation and Nursing LLC

Doing business as Northern Cardinal Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Suffolk, VA
National Provider Identifier
1548028285
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHERN CARDINAL REHABILITATION AND NURSING LLC
Doing business as
Northern Cardinal Rehabilitation and Nursing
Practice address
4775 Bridge Rd
Suffolk, VA 23435-2045
Phone
(757) 686-0488
NPI assigned
Mar 7, 2024
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Akiva Shapiro
Title
Coo
Phone
(201) 581-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

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 1

  • Northern Cardinal Rehabilitation and Nursing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821001427 VA Part A Provider - Skilled Nursing Facility 4880132802 Practice locations: Suffolk, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548028285. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northern Cardinal Rehabilitation and NursingCCN 495206 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
120108.7 residents per day on average
Chain
Eastern Healthcare Group18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
VA SNF Operations Holdings LLC Organization, Clifton, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Operational/Managerial Control May 1, 2024
Amir Hajimomenian Individual Operational/Managerial Control Dec 28, 2023
Ydi Irrevocable Trust Organization, Clifton, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Operational/Managerial Control May 1, 2024
VA 15 Mezz Borrower II LLC Organization, Clifton, NJ LLC, Holding company Adp of the SNF May 1, 2024
Ydi Eastern Holdco LLC Organization, Clifton, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Indirect Ownership Interest May 1, 2024 50%
Zanziper Family Trust Organization, Englewood Cliffs, NJ Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Northwind Healthcare Debt Fund II Master Reit LP Organization, New York, NY Financial institution, Owned by another organization or individual 5% Or Greater Security Interest May 1, 2024 28%
VA 15 Propco Holdco II LLC Organization, Clifton, NJ LLC Adp of the SNF May 1, 2024
Northern Cardinal Propco LLC Organization, Englewood Cliffs, NJ LLC Adp of the SNF May 1, 2024
Akiva Shapiro Individual Corporate OfficerCoo May 1, 2024
Operational/Managerial Control May 1, 2024
Natalie Zanziper Individual Adp of the SNF May 1, 2024
Deutsche Bank New York Branch Organization, New York, NY Financial institution, Owned by another organization or individual 5% Or Greater Security Interest May 1, 2024 72%
JJ United TR Organization, Clifton, NJ For-profit 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 Organization, Englewood Cliffs, NJ Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Yehuda Gittleson Individual Operational/Managerial Control May 1, 2024
VA SNF Master Consulting LLC Organization, Clifton, NJ LLC, Consulting firm Operational/Managerial Control May 1, 2024
Jamie Chard Individual Operational/Managerial Control May 1, 2024
Adp of the SNF Aug 4, 2025
Layla Gittleson Individual Adp of the SNF May 1, 2024
Nechama Sommer Individual Operational/Managerial Control May 1, 2024
VA SNF Realty Holdings 1 LLC Organization, Clifton, NJ LLC, Holding company Adp of the SNF May 1, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 78

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

View all 78

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1548028285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 BRIDGE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352045",
            "telephone_number": "757-686-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 BRIDGE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352045",
            "telephone_number": "757-686-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CARDINAL REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-581-6622"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Cardinal Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Cardinal Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.