NPIMap

Organization Active NPI

Henderson Delmar NV Opco LLC

  • Skilled Nursing Facility
  • Henderson, NV
National Provider Identifier
1669211876
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HENDERSON DELMAR NV OPCO LLC
Practice address
100 Delmar Gardens Dr
Henderson, NV 89074-3216
Phone
(702) 361-6111
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Isaac Rami
Title
Authorized Official
Phone
(702) 361-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Delmar Gardens Dr
Henderson, NV 89074-3216

Mailing address

1815 Lakewood Rd
Ste 255
Toms River, NJ 08755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818003324 NV Part A Provider - Skilled Nursing Facility 3577062488 Practice locations: Henderson, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669211876. Details of each certification follow.

Skilled nursing facility certification: CCN 295041

Legal name
HENDERSON DELMAR NV OPCO LLC
Doing business as
OASIS NURSING & REHAB OF GREEN VALLEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 24, 1988
Last certification
Sep 27, 2024
Beds
242
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Oxford Valley Healthcare
Organization structure
LLC
Enrollment address
100 Delmar Gardens Dr
Henderson, NV 89074-3216
Nursing home name
OASIS NURSING & REHAB OF GREEN VALLEY
Affiliated entity
VALLEY WEST HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oasis Nursing & Rehab of Green ValleyCCN 295041 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 24, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
242192.6 residents per day on average
Chain
Valley West Health12 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
29D0879909Oasis Nursing & Rehab of Green Valley100 Delmar Gardens Drive, Henderson, NV 89074Certificate of waiverFeb 1, 2028

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
Organization, Lakewood, NJ LLC Adp of the SNF Apr 17, 2025
Organization, Lakewood, NJ LLC Adp of the SNF Apr 17, 2025
Individual Adp of the SNF Jul 14, 2025
Organization, Portland, OR LLC Adp of the SNF Jul 14, 2025
Isaac Rami Individual Operational/Managerial Control Apr 17, 2025
Managing Control - Governing Body Apr 17, 2025
Henderson NV Opco Holdco LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 17, 2025 100%
Operational/Managerial Control Apr 17, 2025
Adp of the SNF Apr 17, 2025
Iskeb 2024 Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Apr 17, 2025 99%
Adp of the SNF Apr 17, 2025
Indirect Ownership Interest Apr 17, 2025 99%
NBH Bank Organization, Dallas, TX Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Apr 17, 2025
Organization, Englewood Cliffs, NJ Adp of the SNF Apr 17, 2025
Organization, Englewood Cliffs, NJ LLC Adp of the SNF Apr 17, 2025
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Apr 17, 2025
Individual Adp of the SNF Jul 14, 2025
Organization, Brick, NJ LLC Adp of the SNF Jul 14, 2025
Organization, Lakewood, NJ LLC Adp of the SNF Apr 17, 2025
Organization, Howell, NJ LLC Adp of the SNF Apr 17, 2025
Organization, Englewood Cliffs, NJ LLC Adp of the SNF Apr 17, 2025
Individual Indirect Ownership Interest Apr 17, 2025 1%
Organization, Hackensack, NJ Adp of the SNF Apr 17, 2025

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 6

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 6

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": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1669211876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LAKEWOOD RD",
            "address_2": "STE 255",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELMAR GARDENS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743216",
            "telephone_number": "702-361-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON DELMAR NV OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "RAMI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "702-361-6111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.