Organization Active NPI

Embassy Snug Harbor LLC

  • Skilled Nursing Facility
  • Morehead City, NC
National Provider Identifier
1679395404
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 31, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CityCCN 345580 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 17, 2026
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
42

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
34D2319308Embassy at Morehead City3822 Galantis Drive, Morehead City, NC 28557Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ah Dynasty LLC Organization LLC Adp of the SNF Oct 21, 2025
Christina Albrecht Individual Operational/Managerial Control Jun 2, 2025
GSR Dynasty LLC Organization LLC Adp of the SNF Oct 21, 2025
Erin Kristina Ivanoff Individual Operational/Managerial Control Jun 2, 2025
George S. Repchick 2020 Family Dynasty Trust Organization Trustee of the SNF Jun 2, 2025
Aaron Handler Family Dynasty Trust Organization Real estate investment trust (REIT) Adp of the SNF Oct 21, 2025
Aaron B Handler Individual Operational/Managerial Control Jun 2, 2025
George S. Repchick Individual Operational/Managerial Control Jun 2, 2025
Embassy Healthcare Holdings Inc Organization Corporation 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.

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

Verify at the official NPI Registry.