NPIMap

Organization Active NPI

BH Villa Crest LLC

Doing business as Villa Crest Nursing and Retirement Center

  • Skilled Nursing Facility
  • Manchester, NH
National Provider Identifier
1609596345
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BH VILLA CREST LLC
Doing business as
Villa Crest Nursing and Retirement Center
Practice address
1276 Hanover St
Manchester, NH 03104-5623
Phone
(603) 622-3262
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Yehuda Pepper
Title
Member
Phone
(845) 304-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1276 Hanover St
Manchester, NH 03104-5623

Mailing address

1276 Hanover St
Manchester, NH 03104-5623

Other names 1

  • Villa Crest Nursing and Retirement Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229002468 NH Part A Provider - Skilled Nursing Facility 7315317740 Practice locations: Manchester, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609596345. Details of each certification follow.

Skilled nursing facility certification: CCN 305079

Legal name
BH VILLA CREST LLC
Doing business as
VILLA CREST NURSING AND RETIREMENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1996
Last certification
Jun 20, 2024
Beds
126
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 25, 2022 in NH
Enrollment address
1276 Hanover St
Manchester, NH 03104-5623
Nursing home name
VILLA CREST NURSING AND RETIREMENT CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa Crest Nursing and Retirement CenterCCN 305079 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
126120.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Elliot Schwarcz Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2022 50%
Operational/Managerial ControlLLC Manager Sep 1, 2022 50%
Esnh LLC Organization, Pomona, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2022 50%
Yehuda L Pepper Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2022 50%
Operational/Managerial ControlCoo Sep 1, 2022 50%
Matera Health LLC Organization, Pomona, NY LLC, Management services company, For-profit Operational/Managerial Control Sep 1, 2022 100%
JPNH LLC Organization, Suffern, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2022 50%
Dwight Mortgage Trust LLC Organization, New York, NY Created for acquisition, LLC, For-profit 5% Or Greater Security Interest Sep 1, 2022 100%
NH3 Opco Holdco LLC Organization, Pomona, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2022 100%

Facilities with the same owner 8

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, 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": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1609596345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045623",
            "telephone_number": "603-622-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH VILLA CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-304-1140"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Crest Nursing and Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.