Organization Active NPI

Smokey Ridge Health and Rehabilitation SNF LLC

  • Skilled Nursing Facility
  • Burnsville, NC
National Provider Identifier
1558029488
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SMOKEY RIDGE HEALTH AND REHABILITATION SNF LLC
Practice address
310 Pensacola Rd
Burnsville, NC 28714-3318
Phone
(828) 682-9759
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
David Fischer
Title
Coo
Phone
(828) 756-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

310 Pensacola Rd
Burnsville, NC 28714-3318

Mailing address

8 Melissa Lee Dr
Jackson, NJ 08527-5151
Phone (617) 875-8098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407002720 NC Part A Provider - Skilled Nursing Facility 9436545050 Practice locations: Burnsville, NC

Skilled nursing facility certification: CCN 345305

Legal name
SMOKEY RIDGE HEALTH AND REHABILITATION SNF LLC
Doing business as
SMOKY RIDGE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 29, 1989
Last certification
Mar 20, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
BrightonHealthcare LLC
Organization structure
LLCProprietary
Incorporated
Dec 8, 2021 in NJ
Enrollment address
310 Pensacola Rd
Burnsville, NC 28714-3318
Nursing home name
SMOKY RIDGE HEALTH AND REHABILITATION
Affiliated entity
BRIGHTON HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Smoky Ridge Health and RehabilitationCCN 345305
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 29, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140101.1 residents per day on average
Chain
Brighton Healthcare8 facilities in the chain
Penalties (3 years)
1Fines totaling $59,631

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0247556Smoky Ridge Health and Rehabilitation310 Pensacola Road, Burnsville, NC 28714Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Etnc Holdings LLC Organization, Brooklyn, NY LLC, Owned by another organization or individual Direct Ownership Interest Jun 11, 2025 4.11%
Cynthia Treff Individual 5% Or Greater Indirect Ownership Interest Jun 11, 2025 38.39%
Adp of the SNF Mar 4, 2022
Carla V Shade Individual Operational/Managerial Control Mar 4, 2022
Adp of the SNF Mar 4, 2022
Zev Lefkowitz Individual 5% Or Greater Direct Ownership Interest Jun 11, 2025 28.75%
Adp of the SNF Mar 4, 2022
Esther Treff Individual Indirect Ownership Interest Jun 11, 2025 4.11%
Brighton Management LLC Organization, Toms River, NJ LLC, Management services company Adp of the SNF Mar 4, 2022
310 Pensacola Rd LLC Organization, Burnsville, NC LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 4, 2022 100%
Adp of the SNF Mar 4, 2022
Organization, Brooklyn, NY Consulting firm Adp of the SNF Jul 15, 2025
CTNC Holdings LLC Organization, Brooklyn, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 11, 2025 38.39%
Adp of the SNF Mar 4, 2022
Timothy J Turbett Individual Adp of the SNF Mar 13, 2023
Organization, Charlotte, NC Consulting firm Adp of the SNF Jul 15, 2025
Organization, Lakewood, NJ LLC, Consulting firm Adp of the SNF Jul 15, 2025
David Fischer Individual 5% Or Greater Direct Ownership Interest Jun 11, 2025 28.75%
Operational/Managerial Control Mar 4, 2022
Managing Control - Governing Body Mar 4, 2022
Adp of the SNF Mar 4, 2022

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 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1558029488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MELISSA LEE DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275151",
            "telephone_number": "617-875-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PENSACOLA RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143318",
            "telephone_number": "828-682-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKEY RIDGE HEALTH AND REHABILITATION SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "828-756-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.