NPIMap

Organization Active NPI

Ahoskie NC Opco LLC

Doing business as Ahoskie Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Ahoskie, NC
National Provider Identifier
1780453571
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AHOSKIE NC OPCO LLC
Doing business as
Ahoskie Health and Rehabilitation Center
Practice address
604 Stokes St E
Ahoskie, NC 27910-4159
Phone
(252) 272-6277
NPI assigned
Dec 21, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Itamar Binyomin Cohen
Title
Ceo
Phone
(252) 332-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

604 Stokes St E
Ahoskie, NC 27910-4159

Mailing address

604 Stokes St E
Ahoskie, NC 27910-4159
Phone (252) 272-6277

Other names 1

  • Ahoskie Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250327001698 NC Part A Provider - Skilled Nursing Facility 1052834355 Practice locations: Ahoskie, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780453571. Details of each certification follow.

Skilled nursing facility certification: CCN 345359

Legal name
AHOSKIE NC OPCO LLC
Doing business as
AHOSKIE HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 4, 1991
Last certification
Sep 26, 2024
Beds
151
Ownership / control type
Corporation
Multi-facility organization
August
Organization structure
LLCProprietary
Enrollment address
604 Stokes St E
Ahoskie, NC 27910-4159
Nursing home name
AHOSKIE HEALTH AND REHABILITATION CENTER
Affiliated entity
AUGUST HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ahoskie Health and Rehabilitation CenterCCN 345359 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 4, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
151120.2 residents per day on average
Chain
August Healthcare6 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 4

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

NameRoleSinceShare
Augustnc Holdco LLC Organization, Waterbury, CT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Shanel Price Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 24, 2025
Semaan Y El Khoury Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 28, 2025
Itamar Cohen Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1780453571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 STOKES ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279104159",
            "telephone_number": "252-272-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 STOKES ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279104159",
            "telephone_number": "252-272-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHOSKIE NC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ITAMAR",
        "authorized_official_middle_name": "BINYOMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-332-2126"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahoskie Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.