Organization Active NPI

Belington SNF Operations LLC

Doing business as Tygart Valley Health & Rehabilitation

  • Skilled Nursing Facility
  • Belington, WV
National Provider Identifier
1811670607
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BELINGTON SNF OPERATIONS LLC
Doing business as
Tygart Valley Health & Rehabilitation
Practice address
216 Samaritan Cir
Belington, WV 26250-8141
Phone
(304) 823-2555
NPI assigned
Aug 9, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

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

Addresses

Primary practice location

216 Samaritan Cir
Belington, WV 26250-8141

Mailing address

216 Samaritan Cir
Belington, WV 26250-8141

Other names 1

  • Tygart Valley Health & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107002702 WV Part A Provider - Skilled Nursing Facility 0749637189 Practice locations: Belington, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811670607. Details of each certification follow.

Skilled nursing facility certification: CCN 515116

Legal name
BELINGTON SNF OPERATIONS LLC
Doing business as
TYGART VALLEY HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1992
Last certification
Jan 10, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Hill Valley
Organization structure
LLCProprietary
Incorporated
May 4, 2023 in DE
Enrollment address
216 Samaritan Cir
Belington, WV 26250-8141
Nursing home name
TYGART VALLEY HEALTH & REHABILITATION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tygart Valley Health & RehabilitationCCN 515116 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6055.4 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain

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
51D0663478Tygart Valley Health & Rehabilitation216 Samaritan Circle, Belington, WV 26250Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

216 Samaritan Cir
Belington, WV 26250
Phone (304) 823-2555

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Opco PH Belington LLC Organization, Brooklyn, NY LLC 5% Or Greater Indirect Ownership Interest Aug 25, 2023 37.5%
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Aug 25, 2023 30.47%
Oodayyun Wagoner Individual W-2 Managing EmployeeAdministrator Aug 25, 2023
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest Aug 25, 2023 28.97%
NVH Belington Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Indirect Ownership Interest Aug 25, 2023 62.5%
Shimon Idels Individual Corporate Officer May 8, 2024
Belington Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Direct Ownership Interest Aug 25, 2023 100%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Aug 25, 2023 28.97%
Lion 26 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Aug 25, 2023 30.47%

Facilities with the same owner 47

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

View all 47

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1811670607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SAMARITAN CIR",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262508141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SAMARITAN CIR",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262508141",
            "telephone_number": "304-823-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELINGTON SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tygart Valley Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belington, WV

Sources for this page

Verify at the official NPI Registry.