Organization Active NPI

Springtree Operations LLC

Doing business as Springtree Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Roanoke, VA
National Provider Identifier
1750955936
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRINGTREE OPERATIONS LLC
Doing business as
Springtree Health & Rehabilitation Center
Practice address
3433 Springtree Dr NE
Roanoke, VA 24012-6443
Phone
(540) 981-2790
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Adam Edwards
Title
Administrator
Phone
(540) 981-2790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3433 Springtree Dr NE
Roanoke, VA 24012-6443

Mailing address

3433 Springtree Dr NE
Roanoke, VA 24012-6443

Other names 1

  • Springtree Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823003041 VA Part A Provider - Skilled Nursing Facility 9032514401 Practice locations: Roanoke, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750955936. Details of each certification follow.

Skilled nursing facility certification: CCN 495378

Legal name
SPRINGTREE OPERATIONS LLC
Doing business as
SPRINGTREE HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 14, 2004
Last certification
May 23, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Medical Facilities of America
Most recent change of ownership
May 28, 2021
Organization structure
LLCProprietary
Incorporated
Mar 4, 2021 in NV
Enrollment address
3433 Springtree Dr NE
Roanoke, VA 24012-6443
Nursing home name
SPRINGTREE HEALTHCARE & REHAB CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Springtree Healthcare & Rehab CenterCCN 495378 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 14, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.2 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Charles 1994 & Family LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Charles 1994 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Saul 2012 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.7%
KSS 2000 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Saul 2012 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Edward 1998 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021
Springtree Holdings I LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%
ML 2000 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
America West LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 100%
Charles 1994 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 22.49%
Edward 1998 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Redrock West LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 75%
Adam Edwards Individual Corporate Officer May 14, 2024
W-2 Managing EmployeeAd; May 14, 2024
Rczbm West Manager LLC Organization, Lakewood, NJ LLC Operational/Managerial Control May 28, 2021 100%

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1750955936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 SPRINGTREE DR NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 SPRINGTREE DR NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126443",
            "telephone_number": "540-981-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGTREE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-981-2790"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springtree Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.