NPIMap

Organization Active NPI

Warrenton Operations, LLC

  • Skilled Nursing Facility
  • Warrenton, VA
National Provider Identifier
1669834032
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WARRENTON OPERATIONS, LLC
Practice address
614 Hastings LN
Warrenton, VA 20186-2110
Phone
(540) 347-4770
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Abraham Gutnicki
Title
Manager
Phone
(847) 933-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

614 Hastings LN
Warrenton, VA 20186-2110

Mailing address

276 Cedarbridge Ave
Lakewood, NJ 08701-4265

Other identifiers 1

IdentifierTypeStateIssuer
495267OtherMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523000236 VA Part A Provider - Skilled Nursing Facility 3375832983 Practice locations: Warrenton, VA

Skilled nursing facility certification: CCN 495267

Legal name
WARRENTON OPERATIONS LLC
Doing business as
BROOKSIDE REHAB AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1992
Last certification
Aug 8, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Mar 17, 2016
Organization structure
LLCProprietary
Enrollment address
614 Hastings LN
Warrenton, VA 20186-2110
Nursing home name
BROOKSIDE REHAB & NURSING CENTER
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brookside Rehab & Nursing CenterCCN 495267
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130117.2 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $146,073

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Amanda Coons Individual W-2 Managing EmployeeAdministrator Jul 20, 2022
Derko 2, LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 8, 2016 50%
Judy Kushner Individual 5% Or Greater Indirect Ownership Interest Jan 8, 2016 50%
Corporate OfficerManager (Highest Ranking Offici Jan 16, 2015 50%
Reg 2018 Irrevocable Trust U/a/D 1/1/18 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Jan 1, 2018 50%
Abraham Gutnicki Individual Corporate OfficerManager Jan 16, 2015 50%

Facilities with the same owner 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1669834032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 CEDARBRIDGE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HASTINGS LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862110",
            "telephone_number": "540-347-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENTON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "GUTNICKI",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-933-9280"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "495267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.