BH Villa Crest LLC
Organization Active NPI Skilled Nursing Facility · Manchester, NH
NPI 1609596345 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1609596345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BH VILLA CREST LLC
- Practice address
- 1276 Hanover St
Manchester, NH 03104-5623 - Phone
- (603) 622-3262
- NPI assigned
- Sep 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Yehuda Pepper
- Title
- Member
- Phone
- (845) 304-1140
Facilities with the same owner 8
Practitioners 1
-
Manish Chopra, MD
Affiliated clinicians 1
-
Manish Chopra, MD
Medicare Care Compare: Nursing home
- Listed as
- Villa Crest Nursing and Retirement Center
- 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
- Active
- Certified beds
- 126 · 120.7 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
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
- LLC · Proprietary
- Incorporated
- Feb 25, 2022 in NH
- Enrollment address
- 1276 Hanover St
Manchester, NH 03104-5623 - Nursing home name
- VILLA CREST NURSING AND RETIREMENT CENTER
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Elliot Schwarcz |
5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 50% |
| Operational/Managerial Control |
Sep 1, 2022 | 50% | |
| Esnh LLC |
5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 50% |
| Yehuda L Pepper |
5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 50% |
| Operational/Managerial Control |
Sep 1, 2022 | 50% | |
| Matera Health LLC |
Operational/Managerial Control | Sep 1, 2022 | 100% |
| JPNH LLC |
5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 50% |
| Dwight Mortgage Trust LLC |
5% Or Greater Security Interest | Sep 1, 2022 | 100% |
| NH3 Opco Holdco LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221229002468 | NH | Part a Provider - Skilled Nursing Facility | 7315317740 | Practice locations: Manchester, NH |
National Provider Directory
Locations
1276 Hanover St
Manchester, NH 03104
Phone (603) 606-7532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1276 Hanover St
Manchester, NH 03104-5623
Mailing address
1276 Hanover St
Manchester, NH 03104-5623
Other names
- Villa Crest Nursing and Retirement Center
Other providers in Manchester, NH
- Bestfit DME, Inc.
- Nicholas Jacob Bettinger
- Robin Betton
- Between US Associates PLLC
- BH Maple Leaf LLC
- Sachita Bhandari
- Dil Bhujel
- Bhutanese Community of New Hampshire
- Joseph Paul Bianchi
- Nicholas Bickford
All providers in Manchester, NH · Skilled Nursing Facility in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. 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.