Active NPI
Highland SNF Operations LLC
Doing business as Highland Ridge Rehab Center
- Skilled Nursing Facility
- Dublin, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HIGHLAND SNF OPERATIONS LLC
- Doing business as
- Highland Ridge Rehab Center
- Practice address
- 5872 Hanks Ave
Dublin, VA 24084-2833 - Phone
- (540) 674-4193
- NPI assigned
- Mar 27, 2019
- Last updated
- Mar 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shimon Idels
- Title
- Coo
- Phone
- (917) 565-7391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5872 Hanks Ave
Dublin, VA 24084-2833
Mailing address
7523 Main St # 39
Flushing, NY 11367-7652
Other names 1
- Highland Ridge Rehab Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190912003035 | VA | Part A Provider - Skilled Nursing Facility | 9436488699 | Practice locations: Dublin, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1679034078. Details of each certification follow.
Skilled nursing facility certification: CCN 495333
- Legal name
- HIGHLAND SNF OPERATIONS LLC
- Doing business as
- HIGHLAND RIDGE REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1998
- Last certification
- Apr 26, 2023
- Beds
- 132
- Ownership / control type
- Corporation
- Multi-facility organization
- Hill Valley HealthCare
- Organization structure
- LLC
- Incorporated
- in VA
- Enrollment address
- 5872 Hanks Ave
Dublin, VA 24084-2833 - Nursing home name
- HIGHLAND RIDGE REHAB CENTER
- Affiliated entity
- HILL VALLEY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Highland Ridge Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1998
- Medicare certification status
- Active
- Certified beds
- 132
- Chain
- Hill Valley Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0231760 | Highland SNF Operations, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
5872 Hanks Ave
Dublin, VA 24084
Phone (540) 353-6520
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lori J Viar | W-2 Managing Employee | Jul 1, 2019 | 100% |
| Sabrina 1818 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2019 | 46.2% |
| Saessy Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2019 | 45.2% |
| Joseph E Lieberman | Corporate Officer | Jul 1, 2019 | |
| Steven a Schwartz | Corporate Officer | Jul 1, 2019 | 47.5% |
| Shimon Idels | Corporate Officer | Jul 1, 2019 | 5% |
| Landmark Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2019 | 100% |
| HVH Landmark Management LLC | Operational/Managerial Control | Jul 1, 2019 | 100% |
| Delilah 2626 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2019 | 5% |
| VNB New York LLC | 5% Or Greater Security Interest | Jul 1, 2019 | |
| Tatiriq Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2019 | 43.9% |
| Lion 26 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2019 | 47.5% |
Facilities with the same owner 47
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Alexandria Health & Rehabilitation
- Skilled Nursing Facility
- Alexandria, VA
- NPI 1346951761
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Fairmont Crossing Health and Rehab Center
- Skilled Nursing Facility
- Amherst, VA
- NPI 1174297063
Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Oakwood Health and Rehab Center
- Skilled Nursing Facility
- Bedford, VA
- NPI 1508530387
Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Shalom Gardens Health & Rehabilitation
- Skilled Nursing Facility
- Richmond, VA
- NPI 1881388510
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Blue Ridge Therapy Connection
- Skilled Nursing Facility
- Stuart, VA
- NPI 1013478411
Delilah 2626 Holdings LLC, HVH Landmark Management LLC, Landmark Operations Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Carlin Springs Health & Rehabilitation
- Skilled Nursing Facility
- Arlington, VA
- NPI 1700597127
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Guggenheimer Health and Rehab Center
- Skilled Nursing Facility
- Lynchburg, VA
- NPI 1679247563
Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Evergreen Health and Rehabilitation Center
- Skilled Nursing Facility
- Winchester, VA
- NPI 1487221107
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Fair Oaks Health & Rehabilitation
- Skilled Nursing Facility
- Fairfax, VA
- NPI 1972214393
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Oakhurst Health & Rehabilitation
- Skilled Nursing Facility
- Fork Union, VA
- NPI 1194441949
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Holly Manor Rehab and Nursing
- Skilled Nursing Facility
- Farmville, VA
- NPI 1235886607
Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
dba Lakeside Health & Rehabilitation
- Skilled Nursing Facility
- Richmond, VA
- NPI 1427769843
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Roanoke, VA
- NPI 1821059981
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553644800000",
"number": "1679034078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7523 MAIN ST # 39",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113677652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5872 HANKS AVE",
"city": "DUBLIN",
"state": "VA",
"postal_code": "240842833",
"telephone_number": "540-674-4193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A",
"authorized_official_last_name": "IDELS",
"authorized_official_first_name": "SHIMON",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "917-565-7391"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Ridge Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dublin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.