CV SNF LLC
Organization Active NPI Skilled Nursing Facility · Pineview, GA
NPI 1851757744 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1851757744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CV SNF LLC
- Practice address
- 402 Bay St E
Pineview, GA 31071-3430 - Phone
- (229) 624-2437
- Fax
- (229) 624-2715
- NPI assigned
- Jan 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Bruce E Wertheim
- Title
- Manager
- Phone
- (917) 919-7204
Facilities with the same owner 9
Practitioners 1
-
Michael Todd Peacock, M.D.
Affiliated clinicians 1
-
Michael Todd Peacock, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Crossview Care Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 1993
- Medicare certification status
- Active
- Certified beds
- 102 · 65.5 residents per day on average
- Chain
- Beacon Health Management
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115541
- Legal name
- CV SNF, LLC
- Doing business as
- CROSSVIEW CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1993
- Last certification
- Apr 25, 2024
- Beds
- 102
- Ownership / control type
- Corporation
- Multi-facility organization
- Beacon Health Management
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 6, 2015 in FL
- Enrollment address
- 402 East Bay Street
Pineview, GA 31071-3430 - Nursing home name
- CROSSVIEW CARE CENTER
- Affiliated entity
- BEACON HEALTH MANAGEMENT
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Bruce E Wertheim |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2016 | 100% |
| Operational/Managerial Control |
Jan 1, 2016 | 100% | |
| PWW Healthcare, LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2016 | 100% |
| Kimberly Michelle Wilcox |
W-2 Managing Employee |
Apr 1, 2021 | |
| Beacon Health Management LLC |
Operational/Managerial Control | Jan 1, 2016 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160128000168 | GA | Part a Provider - Skilled Nursing Facility | 7214230044 | Practice locations: Pineview, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
402 Bay St E
Pineview, GA 31071-3430
Mailing address
402 Bay St E
Pineview, GA 31071-3430
Phone (229) 624-2437
Other names
- Crossview Care Center
Other providers in Pineview, GA
- Janet Brown
- H & H Drug, LLC
- Scott Hill
- Kyerra Mahogany-Jamerson
- Pineview 102 LLC
- Pineview Health Care Center Inc.
All providers in Pineview, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 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.