Davidson Health & Rehab Center, LLC
Organization Active NPI Skilled Nursing Facility · Lexington, NC
NPI 1760106702 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1760106702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- DAVIDSON HEALTH & REHAB CENTER, LLC
- Practice address
- 4748 Old Salisbury Rd
Lexington, NC 27295-7827 - Phone
- (336) 956-1132
- NPI assigned
- Oct 3, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- SABER HEALTHCARE HOLDINGS, LLC
Authorized official
- Name
- William Weisberg
- Title
- President
- Phone
- (216) 292-5706
Owners & managing parties with NPI records 1
-
Scott A Sheldon, MD
Facilities with the same owner 122
Practitioners 1
-
Scott A Sheldon, MD
Affiliated clinicians 2
-
Scott A Sheldon, MD
Medicare Care Compare: Nursing home
- Listed as
- Davidson Health & Rehab Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 7, 1970
- Medicare certification status
- Active
- Certified beds
- 100 · 97.9 residents per day on average
- Chain
- Saber Healthcare Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3 · fines totaling $54,389
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1043333 | Davidson Health & Rehab Center | Certificate of waiver | May 25, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345066
- Legal name
- DAVIDSON HEALTH & REHAB CENTER LLC
- Doing business as
- THE HUNTINGTON NATIONAL BANK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 7, 1970
- Last certification
- Jul 25, 2024
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- Saber Healthcare
- Organization structure
- LLC · Proprietary
- Enrollment address
- 4748 Old Salisbury Rd
Lexington, NC 27295-7827 - Nursing home name
- DAVIDSON HEALTH & REHAB CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC |
5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 100% |
| SHG Boa LLC |
Adp of the SNF | Feb 9, 2026 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) |
5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 22.2% |
| Alyce Hopping |
Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| Scott a Sheldon |
Adp of the SNF | Dec 1, 2022 | |
| Ohi Asset (NC) Lexington, LP |
5% Or Greater Security Interest | Dec 1, 2022 | 100% |
| Adp of the SNF | Dec 1, 2022 | ||
| Gregory Nicoluzakis |
Corporate Officer |
Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| SHG Management LLC |
Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| Saber Governance LLC |
Adp of the SNF | Dec 1, 2022 | |
| Saber Healthcare Group LLC |
Adp of the SNF | Dec 1, 2022 | |
| BNV Dynasty LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Benjamin N Volpe |
Corporate Officer |
Dec 1, 2022 | |
| Corporate Director |
Dec 1, 2022 | 50% | |
| Adp of the SNF | Dec 1, 2022 | ||
| Ashley Rader |
Operational/Managerial Control | Sep 8, 2025 | |
| Adp of the SNF | Sep 8, 2025 | ||
| Citrin Cooperman Advisors LLC |
Adp of the SNF | Dec 1, 2022 | |
| Wiw Dynasty LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 67% |
| TCF National Bank |
Adp of the SNF | Apr 1, 2024 | |
| William I Weisberg |
Corporate Officer |
Dec 1, 2022 | |
| Corporate Director |
Dec 1, 2022 | 50% | |
| Adp of the SNF | Dec 1, 2022 | ||
| Walker & Associates PC |
Adp of the SNF | Dec 18, 2023 | |
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| SHG Mt, LLC |
Adp of the SNF | Feb 9, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230206001146 | NC | Part a Provider - Skilled Nursing Facility | 0446622112 | Practice locations: Lexington, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
4748 Old Salisbury Rd
Lexington, NC 27295-7827
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other providers in Lexington, NC
- Davidson County
- Davidson County Department of Senior Services
- Davidson County Public Schools Supe
- Davidson County Rescue Squad Inc
- Davidson Eye Associates PA
- Davidson Home Health, Inc.
- Davidson Home Health, Inc.
- Davidson Optical Design
- Davidson Pediatric Partners, PLLC
- Herbert Crippon Davis Jr.
All providers in Lexington, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.