Active NPI
Ridgecrest Manor Nursing and Rehabilitation, LLC
- Skilled Nursing Facility
- Duffield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIDGECREST MANOR NURSING AND REHABILITATION, LLC
- Practice address
- 157 Ross Carter Blvd
Duffield, VA 24244-5116 - Phone
- (276) 431-2841
- Fax
- (276) 431-4718
- NPI assigned
- Jul 30, 2014
- Last updated
- Jan 14, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
157 Ross Carter Blvd
Duffield, VA 24244-5116
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141113002119 | VA | Part A Provider - Skilled Nursing Facility | 5799907325 | Practice locations: Duffield, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1679981930. Details of each certification follow.
Skilled nursing facility certification: CCN 495134
- Legal name
- RIDGECREST MANOR NURSING AND REHABILITATION, LLC
- Doing business as
- RIDGECREST MANOR NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 24, 1982
- Last certification
- Feb 22, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Saber Healthcare
- Most recent change of ownership
- Nov 1, 2014
- Organization structure
- LLC
- Incorporated
- Jun 23, 2014 in VA
- Enrollment address
- 157 Ross Carter Blvd
Duffield, VA 24244-5116 - Nursing home name
- RIDGECREST MANOR NURSING & REHABILITATION
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ridgecrest Manor Nursing & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 24, 1982
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Saber Healthcare Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 100% |
| WWBV Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 100% |
| Steven Daniel Jones | W-2 Managing Employee | Aug 1, 2022 | 100% |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Dec 31, 2020 | 22.22% |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| SHG Management LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Saber Governance LLC | Operational/Managerial Control | Sep 1, 2019 | 100% |
| Saber Healthcare Group LLC | Other | Nov 1, 2014 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2020 | 22.22% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 77.78% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Mitchell P Davis | Operational/Managerial Control | Jun 4, 2018 | |
| SHH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 100% |
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Sep 30, 2020 | 77.78% |
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Altavista, VA
- NPI 1316582133
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, SHH Holdings LLC, WI
-
dba Shenandoah Nursing Home
- Skilled Nursing Facility
- Fishersville, VA
- NPI 1003892662
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV
-
dba Autumn Care of Suffolk
- Skilled Nursing Facility
- Suffolk, VA
- NPI 1154307890
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Madison
- Skilled Nursing Facility
- Madison, VA
- NPI 1194701888
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Waddell Nursing & Rehab Center
- Skilled Nursing Facility
- Galax, VA
- NPI 1366428922
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Mechanicsville
- Skilled Nursing Facility
- Mechanicsville, VA
- NPI 1366789075
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Norfolk
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1376529925
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Portsmouth
- Skilled Nursing Facility
- Portsmouth, VA
- NPI 1710963459
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC
-
dba Autumn Care of Chesapeake
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1770569410
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Chatham Health and Rehabilitation Center
- Skilled Nursing Facility
- Chatham, VA
- NPI 1982831582
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV
-
dba Tyler's Retreat at Iron Bridge
- Skilled Nursing Facility
- Chester, VA
- NPI 1376774745
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Clarksville, VA
- NPI 1134738248
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV Holdings LLC
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": "1406678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642118400000",
"number": "1679981930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 ROSS CARTER BLVD",
"city": "DUFFIELD",
"state": "VA",
"postal_code": "242445116",
"telephone_number": "276-431-2841",
"fax_number": "276-431-4718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGECREST MANOR NURSING AND REHABILITATION, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2014-07-30",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duffield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.