Organization Active NPI

Belmont Bay Operator, LLC

Doing business as Belmont Bay Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Woodbridge, VA
National Provider Identifier
1750001020
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BELMONT BAY OPERATOR, LLC
Doing business as
Belmont Bay Rehabilitation and Healthcare Center
Practice address
14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone
(703) 491-6167
NPI assigned
Aug 29, 2022
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Mindee Posen
Title
Medicare Administration Officer
Phone
(845) 825-2217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

14906 Richmond Hwy
Woodbridge, VA 22191-4016

Mailing address

14906 Richmond Hwy
Woodbridge, VA 22191-4016

Other names 1

  • Belmont Bay Rehabilitation and Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221215003064 VA Part A Provider - Skilled Nursing Facility 6800265794 Practice locations: Woodbridge, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750001020. Details of each certification follow.

Skilled nursing facility certification: CCN 495361

Legal name
BELMONT BAY OPERATOR, LLC
Doing business as
BELMONT BAY REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2002
Last certification
Jun 6, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 1, 2022
Organization structure
LLCProprietary
Incorporated
Jul 26, 2022 in VA
Enrollment address
14906 Richmond Hwy
Woodbridge, VA 22191-4016
Nursing home name
BELMONT BAY REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
MARQUIS HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Belmont Bay Rehabilitation and Healthcare CenterCCN 495361 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.1 residents per day on average
Chain
Marquis Health Services87 facilities in the chain
Penalties (3 years)
1Fines totaling $12,834

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
49D0679545Belmont Bay Operator LLC14906 Richmond Hwy, Woodbridge, VA 22191Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Tryko Nexgen Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 56.8%
Adp of the SNF Dec 1, 2022
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Feb 20, 2025
Dina Harman Individual Managing Control - Governing BodyMember of Governing Body Dec 1, 2022
Adp of the SNF Dec 1, 2022
Joseph S Law Individual Managing Control - Governing BodyMember of Governing Body Dec 1, 2022
Adp of the SNF Dec 1, 2022
Reliant Pro Rehab LLC Organization, Plano, TX LLC, Medical provider/supplier, Management services company, For-profit Operational/Managerial Control Dec 1, 2022
Adp of the SNF Feb 20, 2025
Yr Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2022 28.4%
Adp of the SNF Dec 1, 2022
Organization, Manalapan, NJ LLC, Consulting firm, For-profit Adp of the SNF Feb 20, 2025
Marquis Limited LLC Organization, Brick, NJ LLC, For-profit Operational/Managerial Control Dec 1, 2022
Adp of the SNF Feb 20, 2025
SK Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2022 14.2%
Adp of the SNF Dec 1, 2022
Mindee Posen Individual Corporate OfficerMedicare Administration Officer Dec 1, 2022
Trustee of the SNF Dec 1, 2022
Adp of the SNF Dec 1, 2022
Organization, Louisville, KY Corporation, Consulting firm, For-profit Adp of the SNF Feb 20, 2025
Darnell Jenkins Individual Corporate DirectorAdministrator May 26, 2023
Operational/Managerial Control May 26, 2023
Managing Control - Governing BodyMember of Governing Body May 26, 2023
Adp of the SNF May 26, 2023
Rsbrmk Holdings LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 21.8%
Adp of the SNF Dec 1, 2022
Wesam Hassen Moustafa Hussein Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
Organization, New Canaan, CT LLC, Consulting firm, For-profit Adp of the SNF Feb 20, 2025
NFR 2020 Irrv TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2022 21.8%
Adp of the SNF Dec 1, 2022
Yk Nexgen TR Organization, Brick, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2022 14.2%
Adp of the SNF Dec 1, 2022
Belmont Bay Property LLC Organization, Brick, NJ LLC, For-profit Adp of the SNF Dec 1, 2022
Ukr Nexgen LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 20%
Adp of the SNF Dec 1, 2022
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Feb 20, 2025
Yogesh V Viroja Individual Managing Control - Governing BodyMember of Governing Body Dec 1, 2022
Adp of the SNF Dec 1, 2022
M&T Bank Organization, Paramus, NJ Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 1, 2022
5% Or Greater Security Interest Dec 1, 2022
Aviva Kahanow Individual Trustee of the SNF Dec 1, 2022
Indirect Ownership Interest Dec 1, 2022
Organization, Brick, NJ LLC, Consulting firm, For-profit Adp of the SNF Feb 20, 2025
Uak 2020 Irrv TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2022 20%
Adp of the SNF Dec 1, 2022
Quinto Nexgen LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 78.6%
Adp of the SNF Dec 1, 2022
Skilled Venture LLC Organization, Brick, NJ LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Dec 1, 2022 1.4%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 89

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

View all 89

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1750001020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14906 RICHMOND HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14906 RICHMOND HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "703-491-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT BAY OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "845-825-2217"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Belmont Bay Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Belmont Bay Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.