Organization Active NPI

Highland SNF Operations LLC

Doing business as Highland Ridge Rehab Center

  • Skilled Nursing Facility
  • Dublin, VA
National Provider Identifier
1679034078
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 495333 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132124.7 residents per day on average
Chain
Hill Valley Healthcare43 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
49D0231760Highland SNF Operations, LLC5872 Hanks Avenue, Dublin, VA 24084Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lori J Viar Individual W-2 Managing Employee Jul 1, 2019 100%
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2019 46.2%
Saessy Irrevocable Trust Organization, Far Rockaway, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2019 45.2%
Joseph E Lieberman Individual Corporate Officer47.5 Jul 1, 2019
Steven a Schwartz Individual Corporate Officer Jul 1, 2019 47.5%
Shimon Idels Individual Corporate OfficerCoo Jul 1, 2019 5%
Landmark Operations Holdings LLC Organization, Flushing, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
HVH Landmark Management LLC Organization, Flushing, NY LLC, For-profit Operational/Managerial Control Jul 1, 2019 100%
Delilah 2626 Holdings LLC Organization, Flushing, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2019 5%
VNB New York LLC Organization, New York, NY LLC, Financial institution 5% Or Greater Security Interest Jul 1, 2019
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2019 43.9%
Lion 26 Holdings LLC Organization, Flushing, NY LLC, For-profit 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.

View all 47

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.