Active NPI
422 23Rd Street Operations LLC
Doing business as Hidden Valley Center
- Skilled Nursing Facility
- Oak Hill, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 129
- Legal business name
- 422 23RD STREET OPERATIONS LLC
- Doing business as
- Hidden Valley Center
- Practice address
- 422 23Rd St
Oak Hill, WV 25901-2830 - Phone
- (304) 465-1903
- Fax
- (304) 949-3807
- NPI assigned
- Dec 21, 2007
- Last updated
- Oct 6, 2025
- 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 T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 129 | WV | Primary |
Addresses
Primary practice location
422 23Rd St
Oak Hill, WV 25901-2830
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810007143 | Medicaid | WV |
Other names 1
- Hidden Valley Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080411000134 | WV | Part A Provider - Skilled Nursing Facility | 0840377057 | Practice locations: Oak Hill, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821272139. Details of each certification follow.
Skilled nursing facility certification: CCN 515147
- Legal name
- 422 23RD STREET OPERATIONS LLC
- Doing business as
- HIDDEN VALLEY CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 2, 1996
- Last certification
- Oct 1, 2024
- Beds
- 80
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis
- Most recent change of ownership
- Apr 1, 2011
- Organization structure
- LLC
- Incorporated
- Aug 16, 2007 in WV
- Enrollment address
- 422 23Rd St
Oak Hill, WV 25901-2830 - Nursing home name
- HIDDEN VALLEY CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hidden Valley Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 2, 1996
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Genesis Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 24
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 | |
| Michael Antolini | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Mar 23, 2025 | ||
| Debra Bess | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Mar 23, 2025 | ||
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 10.8% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis WV Holdings LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 5.2% |
| Adp of the SNF | Mar 23, 2025 | ||
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 65.3% |
| Adp of the SNF | Mar 23, 2025 | ||
| Adp of the SNF | Mar 23, 2025 | ||
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 10.8% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 7.6% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 7.6% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Mar 2, 2015 | |
| Welltower Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| GHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| 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.
-
- Family Medicine Physician
- Fayetteville, WV
- NPI 1851659387
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 179
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
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 Heritage Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Ansted Center
- Skilled Nursing Facility
- Ansted, WV
- NPI 1639353816
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Tygart Center at Fairmount Campus
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1578709341
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 Pierpont Center at Fairmont Campus
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1396981064
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, Zac Properties XI LLC
-
dba Madison Center
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1073797387
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Raleigh Center
- Skilled Nursing Facility
- Daniels, WV
- NPI 1063696243
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Ravenswood Village
- Skilled Nursing Facility
- Ravenswood, WV
- NPI 1124202304
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 Sistersville Center
- Skilled Nursing Facility
- Sistersville, WV
- NPI 1831373026
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
-
dba Care Haven Center
- Skilled Nursing Facility
- Martinsburg, WV
- NPI 1053595355
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundanc
-
dba Cedar Ridge Center
- Skilled Nursing Facility
- Sissonville, WV
- NPI 1689858987
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis WV Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC ·
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Fayetteville, WV
- NPI 1447241310
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": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1821272139",
"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": "422 23RD ST",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012830",
"telephone_number": "304-465-1903",
"fax_number": "304-949-3807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "422 23RD STREET OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "610-444-6350"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810007143",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hidden Valley Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.