Litchford Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LITCHFORD OPERATOR LLC

Doing business as

Litchford Falls Health and Rehabilitation Center

Practice address

8200 Litchford Rd
Raleigh, NC 27615-4231

Phone

(919) 878-7772

NPI assigned

Mar 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Neiswanger

Title

Authorized Official

Phone

(919) 878-7772

Specialties & licenses 1

Addresses

Other names 1

• Litchford Falls Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345499

Legal name

LITCHFORD OPERATOR LLC

Doing business as

LITCHFORD FALLS HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 2, 2000

Last certification

May 8, 2025

Beds

114 (90 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Medical Facilities of America

Organization structure

LLC

Enrollment address

8200 Litchford Road
Raleigh, NC 27615-4231

Nursing home name

LITCHFORD FALLS HEALTH AND REHABILITATION CENTER

Affiliated entity

LIFEWORKS REHAB

Listed as

Litchford Falls Health and Rehabilitation CenterCCN 345499 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 2, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9086.4 residents per day on average

Chain

Lifeworks Rehab64 facilities in the chain

Penalties (3 years)

2Fines totaling $181,873

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ramesh Babu Konduru

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1477717445

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Julius Chamberlain Shayo, NP-C

  • Primary Care Nurse Practitioner
  • Holly Springs, NC
  • NPI 1750927018

  Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julius Chamberlain Shayo, NP-C

  • Primary Care Nurse Practitioner
  • Holly Springs, NC
  • NPI 1750927018
  NPD

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael James, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1538161609

  Nursing home

  Care Compare affiliation
• Ramesh Babu Konduru

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1477717445

  Nursing home

  Care Compare affiliation
• Steven Marc Liebowitz, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1386646453

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1740031905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 LITCHFORD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154231",
            "telephone_number": "919-878-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LITCHFORD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154231",
            "telephone_number": "919-878-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFORD OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NEISWANGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "919-878-7772"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Litchford Falls Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicole Litchfield, DPT
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• Skilled Nursing Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.