333 East Lee Avenue Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

333 EAST LEE AVENUE OPCO LLC

Doing business as

Willowbrook Rehabilitation and Care

Practice address

333 E Lee Ave
Yadkinville, NC 27055-8132

Phone

(336) 679-8028

Fax

(336) 679-4072

NPI assigned

Dec 24, 2024

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Hoback

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other names 1

• Willowbrook Rehabilitation and Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669280517. Details of each certification follow.

• CCN 345466 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345466

Legal name

333 EAST LEE AVENUE OPCO LLC

Doing business as

WILLOWBROOK REHABILITATION AND CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 31, 1994

Last certification

Jul 24, 2024

Beds

76

Ownership / control type

Partnership

Multi-facility organization

Avardis

Organization structure

LLCProprietary

Enrollment address

333 E Lee Ave
Yadkinville, NC 27055-8132

Nursing home name

WILLOWBROOK REHABILITATION AND CARE

Affiliated entity

AVARDIS HEALTH

Listed as

Willowbrook Rehabilitation and CareCCN 345466 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Oct 31, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7670.9 residents per day on average

Chain

Avardis Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Holly Bernardini, DO

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1205883113

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 41

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

• 1000 Tandall Place Opco LLC

  dba Wellington Rehabilitation and Healthcare

  • Skilled Nursing Facility
  • Knightdale, NC
  • NPI 1790593648

  SNF MGR LLC

  CMS ownership
• 1810 Concord Lake Road Opco LLC

  dba Kannapolis Health and Rehabilitation

  • Skilled Nursing Facility
  • Kannapolis, NC
  • NPI 1114735156

  SNF MGR LLC

  CMS ownership
• 2030 Harper Avenue Opco LLC

  dba Hibriten Mountain Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Lenoir, NC
  • NPI 1497563431

  SNF MGR LLC

  CMS ownership
• 25 Reynolds Mountain Boulevard Opco LLC

  dba Emerald Ridge Health and Rehabilitation

  • Skilled Nursing Facility
  • Asheville, NC
  • NPI 1548078652

  SNF MGR LLC

  CMS ownership
• 3864 Sweeten Creek Road Opco LLC

  dba Arden Ridge Health and Rehabilitation

  • Skilled Nursing Facility
  • Arden, NC
  • NPI 1548078595

  SNF MGR LLC

  CMS ownership
• 511 Windmill Street Opco LLC

  dba Walnut Cove Health and Rehabilitation

  • Skilled Nursing Facility
  • Walnut Cove, NC
  • NPI 1164230017

  SNF MGR LLC

  CMS ownership
• 518 Old US Highway 221 Opco LLC

  dba Oak Grove Healthcare

  • Skilled Nursing Facility
  • Rutherfordton, NC
  • NPI 1427866474

  SNF MGR LLC

  CMS ownership
• 551 Kent Street Opco LLC

  dba Valley View Care and Rehabilitation

  • Skilled Nursing Facility
  • Andrews, NC
  • NPI 1437967387

  SNF MGR LLC

  CMS ownership
• 6001 Wilora Lake Road Opco LLC

  dba Wilora Lake Healthcare

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1831907781

  SNF MGR LLC

  CMS ownership
• 620 Heathwood Drive Opco LLC

  dba Forrest Oakes Healthcare

  • Skilled Nursing Facility
  • Albemarle, NC
  • NPI 1316755424

  SNF MGR LLC

  CMS ownership
• 620 Tom Hunter Road Opco LLC

  dba Crown Haven Health and Rehabilitation

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1760290704

  SNF MGR LLC

  CMS ownership
• 625 Ashland Street Opco LLC

  dba Westwood Health and Rehabilitation

  • Skilled Nursing Facility
  • Archdale, NC
  • NPI 1427866375

  SNF MGR LLC

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1669280517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-8028",
            "fax_number": "336-679-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-8028",
            "fax_number": "336-679-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "333 EAST LEE AVENUE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "HOBACK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "affiliationName": "Synergy Healthcare Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "850 Concourse Pkwy S Ste 250",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Willowbrook Rehabilitation and Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aegis Family Health Centers Inc (Aegis Family Health Centers Yadkinville)
• Alexander Youth Network (Yadkinville Day Treatment)
• Charlotte-Anne Brewer Allen, SLP/CCC, MA
• B&L Advanced Home Care,Inc.
• Christopher Shane Bailey, LPC

• Skilled Nursing Facility in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.