25 Reynolds Mountain Boulevard Opco LLC
Organization Active NPI Skilled Nursing Facility · Asheville, NC
NPI 1548078652 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1548078652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC
- Practice address
- 25 Reynolds Mountain Blvd
Asheville, NC 28804-1270 - Phone
- (828) 645-6619
- NPI assigned
- Dec 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Tiffany Hoback
- Title
- Manager
- Phone
- (770) 698-9040
Owners & managing parties with NPI records 1
-
Katherine Grimes Crum, M.D.
Facilities with the same owner 41
Affiliated clinicians 2
-
Katherine Grimes Crum, M.D.
-
Ishan Bhansaly, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Emerald Ridge Health and Rehabilitation
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 20, 1993
- Medicare certification status
- Active
- Certified beds
- 100 · 89.7 residents per day on average
- Chain
- Avardis Health
- Penalties (3 years)
- 2 · fines totaling $73,475
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0955346 | Emerald Ridge Health and Rehabilitation | Certificate of waiver | Dec 27, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345447
- Legal name
- 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC
- Doing business as
- EMERALD RIDGE HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 20, 1993
- Last certification
- Mar 6, 2025
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Avardis Healthcare
- Organization structure
- LLC
- Enrollment address
- 25 Reynolds Mountain Blvd
Asheville, NC 28804-1270 - Nursing home name
- EMERALD RIDGE HEALTH AND REHABILITATION
- Affiliated entity
- AVARDIS HEALTH
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Nu C II Irrevocable Trust |
Indirect Ownership Interest | Jun 1, 2025 | 50% |
| Asheville Parentco LLC |
Direct Ownership Interest | Jun 1, 2025 | 100% |
| Ncop Holdco LLC |
Indirect Ownership Interest | Jun 1, 2025 | 100% |
| RMB Holdco LLC |
Indirect Ownership Interest | Jun 1, 2025 | 100% |
| |
Adp of the SNF | Apr 15, 2025 | |
| Katherine Grimes Crum |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| SNF Care Centers LLC |
Indirect Ownership Interest | Jun 1, 2025 | 100% |
| SNF MGR LLC |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | Apr 15, 2025 | ||
| |
Adp of the SNF | Jun 1, 2025 | |
| Brandi H Semones |
Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Candace Fisher |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Zenith Holdco II LLC |
Indirect Ownership Interest | Jun 1, 2025 | 100% |
| |
Adp of the SNF | Jun 1, 2025 | |
| |
Adp of the SNF | Apr 24, 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 |
Indirect Ownership Interest | Jun 1, 2025 | 100% |
| |
Adp of the SNF | Apr 15, 2025 | |
| Tequilla Jones |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| |
Adp of the SNF | Apr 15, 2025 | |
| Nu C Irrevocable Trust |
Indirect Ownership Interest | Jun 1, 2025 | 50% |
| Rebecca Ramsey |
Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Cse Woodfin LP |
5% Or Greater Security Interest | Jun 1, 2025 | 100% |
| Adp of the SNF | Jun 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250808000896 | NC | Part a Provider - Skilled Nursing Facility | 4789182809 | Practice locations: Asheville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
25 Reynolds Mountain Blvd
Asheville, NC 28804-1270
Mailing address
25 Reynolds Mountain Blvd
Asheville, NC 28804-1270
Phone (828) 645-6619
Other names
- Emerald Ridge Health 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 Asheville, NC
- 1 On 1 Physical Therapy, LLC
- A Caring Alternative, LLC
- A New Hope Home Care, LLC
- Diane A-Akert
- Richard Edward Aab
- Ab Family Support Center
All providers in Asheville, 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 Mar 10, 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.