Active NPI
Northern Cardinal Rehabilitation and Nursing LLC
Doing business as Northern Cardinal Rehabilitation and Nursing
- Skilled Nursing Facility
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 15, 1989
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Eastern Healthcare Group
National Provider Directory
National Provider DirectoryOwnership & 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.
| 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 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Virginia Beach, VA
- NPI 1497735112
Operational/Managerial Control
Facilities with the same owner 78
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Annandale, VA
- NPI 1932724259
HC Family Trust, Zanziper Family Trust
-
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1538818703
JJ United TR, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1396494571
JJ United TR, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
dba Blue Ridge Rehabilitation and Nursing
- Skilled Nursing Facility
- Harrisonburg, VA
- NPI 1205549581
JJ United TR, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1033868211
JJ United TR, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
dba Deer Meadows Rehabilitation and Nursing
- Skilled Nursing Facility
- Abingdon, VA
- NPI 1578276853
JJ United TR, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
dba Greene Acres Rehabilitation and Nursing
- Skilled Nursing Facility
- Stanardsville, VA
- NPI 1841903127
JJ United TR, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
- Skilled Nursing Facility
- Suffolk, VA
- NPI 1194474361
JJ United TR, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
- Skilled Nursing Facility
- Nassawadox, VA
- NPI 1306587597
JJ United TR, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1942959127
JJ United TR, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust
-
dba Old Dominion Rehabilitation and Nursing
- Skilled Nursing Facility
- Newport News, VA
- NPI 1649038381
HC Family Trust, JJ United TR, VA SNF Master Consulting LLC, VA SNF Operations Holdings LLC, Ydi Eastern Holdco LLC, Ydi Irrevocable Trust, Zanziper Family Trust
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.
-
- Internal Medicine Physician
- Virginia Beach, VA
- NPI 1497735112
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.