Loudoun Center for Rehabilitation and Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LOUDOUN CENTER FOR REHABILITATION AND NURSING LLC

Practice address

235 Old Waterford Rd NW
Leesburg, VA 20176-2117

Phone

(703) 771-2841

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elazar Fischer

Title

Manager

Phone

(617) 895-9122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740996941. Details of each certification follow.

• CCN 495275 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495275

Legal name

LOUDOUN CENTER FOR REHABILITATION AND NURSING LLC

Doing business as

LOUDOUN REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1993

Last certification

Dec 1, 2023

Beds

100

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Dec 28, 2022 in VA

Enrollment address

235 Old Waterford Rd NW
Leesburg, VA 20176-2117

Nursing home name

LOUDOUN REHABILITATION AND NURSING CENTER

Affiliated entity

GREEN TREE HEALTH MANAGEMENT

Listed as

Loudoun Rehabilitation and Nursing CenterCCN 495275 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10092.4 residents per day on average

Chain

Green Tree Health Management8 facilities in the chain

Penalties (3 years)

4Fines totaling $123,589

Processed by Care Compare on Aug 1, 2026.

Locations

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.

Owners & managing parties with NPI records 1

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

• Amr Hossam Eldin Behiri, DO

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1154588580

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Beth Abraham Village LLC

  dba Maimonides Health Center of Virginia Beach

  • Skilled Nursing Facility
  • Virginia Beach, VA
  • NPI 1922792233

  SJ Healthcare Capital LLC

  CMS ownership
• Fauquier Opco LLC

  • Skilled Nursing Facility
  • Warrenton, VA
  • NPI 1699509869

  PC8 Capital Group LLC

  CMS ownership
• Edgewood Rehab and Healthcare Center LLC

  dba Edgewood Center for Rehab and Healthcare

  • Skilled Nursing Facility
  • Portsmouth, NH
  • NPI 1689309304

  PC8 Capital Group LLC

  CMS ownership
• Ellisville Opco LLC

  • Skilled Nursing Facility
  • Ellisville, MO
  • NPI 1275372088

  SJ Healthcare Capital LLC

  CMS ownership
• St. Joseph's Bluffs Nursing and Rehab LLC

  dba Heisinger Bluffs Healthcare Western Campus

  • Skilled Nursing Facility
  • Jefferson City, MO
  • NPI 1558084285

  PC8 Capital Group LLC, SJ Healthcare Capital LLC

  CMS ownership

Affiliated clinicians 2

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

• Amr Hossam Eldin Behiri, DO

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1154588580

  Nursing home

  Care Compare affiliation
• Aras Frank Kay, M.D.

  • Internal Medicine Physician
  • Great Falls, VA
  • NPI 1104182559

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1740996941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275090",
            "telephone_number": "617-895-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 OLD WATERFORD RD NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762117",
            "telephone_number": "703-771-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN CENTER FOR REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "ELAZAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-895-9122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lopreto, RBT
• Kelly Ann Loss, MSW CANDIDATE
• Karan Lotfi, M.D.
• Philip Bennett Lott, LPTA
• Loudoun Association of Retarded Citizens (The Arc of Loudoun)
• Loudoun Community Health Center (HealthWorks for Northern Virginia)
• Loudoun Community Health Center (HealthWorks for Northern Virginia)
• Loudoun Community Health Center, Inc. Dba Hwnova Community Pharmacy
• Loudoun Counseling Services
• Loudoun County Home Care (Home Helpers)

• Skilled Nursing Facility in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.