Active NPI
Waterville SNF Operations, LLC
Doing business as Oak Grove Center
- Skilled Nursing Facility
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 36217
- Legal business name
- WATERVILLE SNF OPERATIONS, LLC
- Doing business as
- Oak Grove Center
- Practice address
- 27 Cool St
Waterville, ME 04901-5221 - Phone
- (207) 873-0721
- Fax
- (207) 877-2287
- NPI assigned
- Dec 14, 2006
- Last updated
- Jan 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Theodore Berg
- Title
- Assistant Secretary
- Phone
- (610) 444-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 36217 | ME | Primary |
Addresses
Primary practice location
27 Cool St
Waterville, ME 04901-5221
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432469100 | Medicaid | ME |
Other names 1
- Oak Grove Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070104000235 | ME | Part A Provider - Skilled Nursing Facility | 5597765164 | Practice locations: Waterville, ME |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1760544100. Details of each certification follow.
Skilled nursing facility certification: CCN 205091
- Legal name
- WATERVILLE SNF OPERATIONS, LLC
- Doing business as
- OAK GROVE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1993
- Last certification
- Mar 24, 2025
- Beds
- 90
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis Healthcare
- Organization structure
- LLC
- Incorporated
- Sep 19, 2006 in ME
- Enrollment address
- 27 Cool St
Waterville, ME 04901-5221 - Nursing home name
- OAK GROVE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oak Grove Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- Genesis Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
National Provider Directory
National Provider Directory- Tax ID family
- Oak Grove Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Waterville, ME
- NPI 1457688962
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| Megan Stevenson | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 25, 2025 | ||
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 14.69% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Laura L Matones | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Feb 25, 2025 | ||
| Genesis Healthcare of Maine LLC | 5% Or Greater Direct Ownership Interest | Oct 2, 2012 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 25.75% |
| Adp of the SNF | Feb 25, 2025 | ||
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 17.38% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 8.46% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Dec 31, 2011 | 11.02% |
| Adp of the SNF | Feb 25, 2025 | ||
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Dec 1, 2012 | |
| Adp of the SNF | Mar 23, 2025 | ||
| GHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2008 | |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Bangor, ME
- NPI 1760450829
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 178
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Harbor Hill Center
- Skilled Nursing Facility
- Belfast, ME
- NPI 1659433167
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Windward Gardens
- Skilled Nursing Facility
- Camden, ME
- NPI 1346302635
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Sedgewood Commons
- Skilled Nursing Facility
- Falmouth, ME
- NPI 1447312707
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Sandy River Center
- Skilled Nursing Facility
- Farmington, ME
- NPI 1881756120
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba RiverRidge Center
- Skilled Nursing Facility
- Kennebunk, ME
- NPI 1508928995
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Marshwood Center
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1700948122
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Orono Commons
- Skilled Nursing Facility
- Orono, ME
- NPI 1780746131
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Pine Point Center
- Skilled Nursing Facility
- Scarborough, ME
- NPI 1912069386
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Cedar Ridge Center
- Skilled Nursing Facility
- Skowhegan, ME
- NPI 1194887687
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Springbrook Center
- Skilled Nursing Facility
- Westbrook, ME
- NPI 1588726855
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Abbeyville Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Internal Medicine Physician
- Bangor, ME
- NPI 1760450829
-
- Family Nurse Practitioner
- Biloxi, MS
- NPI 1518235142
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1629772892
-
- Family Nurse Practitioner
- Huntington, WV
- NPI 1760033518
-
- Family Nurse Practitioner
- Novi, MI
- NPI 1528551223
-
- Clinical Social Worker
- Boston, MA
- NPI 1962128686
-
- Family Nurse Practitioner
- Boston, MA
- NPI 1508369166
-
- Family Nurse Practitioner
- New York, NY
- NPI 1043583032
-
- Family Nurse Practitioner
- Westborough, MA
- NPI 1720397755
-
- Family Nurse Practitioner
- Rutland, VT
- NPI 1790014884
-
- Family Nurse Practitioner
- Fultondale, AL
- NPI 1861944233
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1427721851
Affiliated clinicians 6
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": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1760544100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COOL ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015221",
"telephone_number": "207-873-0721",
"fax_number": "207-877-2287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERVILLE SNF OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THEODORE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "610-444-6350"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ME",
"license": "36217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432469100",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Grove Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.