Organization Active NPI

Harnett Healthcare Group, LLC

  • Skilled Nursing Facility
  • Lillington, NC
National Provider Identifier
1609124155
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0144 Issued in NC
Legal business name
HARNETT HEALTHCARE GROUP, LLC
Practice address
54 Red Mulberry Way
Lillington, NC 27546-3806
Phone
(910) 814-8030
Fax
(910) 814-8031
NPI assigned
Aug 15, 2012
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
William I. Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0144 NC Primary

Addresses

Primary practice location

54 Red Mulberry Way
Lillington, NC 27546-3806

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
3445173MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000222 NC Part A Provider - Skilled Nursing Facility 7315196037 Practice locations: Lillington, NC

Skilled nursing facility certification: CCN 345173

Legal name
HARNETT HEALTHCARE GROUP, LLC
Doing business as
EMERALD HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
May 28, 2024
Beds
96
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Saber Healthcare
Organization structure
LLCProprietary
Enrollment address
54 Red Mulberry Way
Lillington, NC 27546-9633
Nursing home name
EMERALD HEALTH & REHAB CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Emerald Health & Rehab CenterCCN 345173
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9691.5 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain

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
34D0689449Harnett Healthcare Group, LLC54 Red Mulberry Way, Lillington, NC 27546Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2012 100%
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Joel R Pieper Individual Adp of the SNF Jan 9, 2023
Tim Davis Individual Operational/Managerial Control Jul 2, 2025
Bundle Tenant LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 9, 2015 100%
5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
Adp of the SNF May 8, 2026
Harnett Health Investors LP Organization, Toledo, OH Investment firm Adp of the SNF Aug 1, 2015
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC, Investment firm, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
Saber Governance LLC Organization, Beachwood, OH LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
Operational/Managerial Control Sep 1, 2019 100%
BNV Dynasty LLC Organization, Beachwood, OH LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Brian Joiner Individual Operational/Managerial ControlRegional VP of Operations Dec 17, 2023
Adp of the SNF Dec 17, 2023
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Aug 1, 2012
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
Walker & Associates PC Organization, Roanoke, VA Corporation Adp of the SNF Dec 18, 2023
The Huntington National Bank Organization, Columbus, OH Corporation Adp of the SNF Jul 19, 2019
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%

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 122

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

View all 122

Practitioners & affiliated clinicians

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": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1609124155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 RED MULBERRY WAY",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275463806",
            "telephone_number": "910-814-8030",
            "fax_number": "910-814-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARNETT HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3445173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.