Active NPI
Embassy Snug Harbor LLC
- Skilled Nursing Facility
- Morehead City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMBASSY SNUG HARBOR LLC
- Doing business as
- Embassy at Morehead City
- Practice address
- 3822 Galantis Drive
Morehead City, NC 28557 - Phone
- (215) 378-2050
- NPI assigned
- Oct 31, 2024
- 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
- Nicholas Ciccone
- Title
- Chief Compliance Officer
- Phone
- (215) 378-2050
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3822 Galantis Drive
Morehead City, NC 28557
Mailing address
25201 Chagrin Blvd Ste 190
Beachwood, OH 44122-5633
Other names 1
- Embassy at Morehead City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251008003889 | NC | Part A Provider - Skilled Nursing Facility | 7517464241 | Practice locations: Morehead City, NC |
Skilled nursing facility certification: CCN 345580
- Legal name
- EMBASSY SNUG HARBOR, LLC
- Doing business as
- EMBASSY AT MOREHEAD CITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 17, 2026
- Last certification
- Feb 17, 2026
- Beds
- 92 (42 certified)
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Embassy Healthcare
- Organization structure
- LLC
- Enrollment address
- 3822 Galantis Drive
Morehead City, NC 28557 - Nursing home name
- EMBASSY AT MOREHEAD CITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Embassy at Morehead City
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 17, 2026
- Medicare certification status
- Active
- Certified beds
- 42
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 |
|---|---|---|---|
| 34D2319308 | Embassy at Morehead City | Certificate of waiver | Feb 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
3822 Galantis Dr
Morehead City, NC 28557
Phone (215) 378-2050
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Ah Dynasty LLC | Adp of the SNF | Oct 21, 2025 | |
| Christina Albrecht | Operational/Managerial Control | Jun 2, 2025 | |
| GSR Dynasty LLC | Adp of the SNF | Oct 21, 2025 | |
| Erin Kristina Ivanoff | Operational/Managerial Control | Jun 2, 2025 | |
| George S. Repchick 2020 Family Dynasty Trust | Trustee of the SNF | Jun 2, 2025 | |
| Aaron Handler Family Dynasty Trust | Adp of the SNF | Oct 21, 2025 | |
| Aaron B Handler | Operational/Managerial Control | Jun 2, 2025 | |
| George S. Repchick | Operational/Managerial Control | Jun 2, 2025 | |
| Embassy Healthcare Holdings Inc | Adp of the SNF | Oct 21, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1598203424
Operational/Managerial Control
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1679395404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25201 CHAGRIN BLVD STE 190",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 GALANTIS DRIVE",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "28557",
"telephone_number": "215-378-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBASSY SNUG HARBOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "CICCONE",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "215-378-2050"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Embassy at Morehead City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.