Active NPI
Stafford Healthcare Group, Inc.
- Skilled Nursing Facility
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- STAFFORD HEALTHCARE GROUP, INC.
- Practice address
- 140 Brimley Drive
Fredericksburg, VA 22406 - Phone
- (540) 752-0111
- NPI assigned
- Mar 22, 2010
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William I. Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
140 Brimley Drive
Fredericksburg, VA 22406
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other names 1
- FALLS RUN NURSING AND REHABILITATION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100811000291 | VA | Part A Provider - Skilled Nursing Facility | 5799819884 | Practice locations: Fredericksburg, VA |
Skilled nursing facility certification: CCN 495407
- Legal name
- STAFFORD HEALTHCARE GROUP, INC.
- Doing business as
- FALLS RUN NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 21, 2010
- Last certification
- Mar 16, 2023
- Beds
- 90
- Ownership / control type
- Corporation
- Multi-facility organization
- Saber Healthcare Group
- Organization structure
- Corporation
- Incorporated
- Apr 27, 2009 in OH
- Enrollment address
- 140 Brimley Dr
Fredericksburg, VA 22406-5103 - Nursing home name
- FALLS RUN NURSING AND REHABILITATION
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Falls Run Nursing and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 21, 2010
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- Saber Healthcare Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2022015 | Stafford Healthcare Group, Inc | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Falls Run Nursing and Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Woodbridge, VA
- NPI 1891194668
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Jeffrey John Kulp | W-2 Managing Employee | Oct 7, 2017 | 100% |
| Operational/Managerial Control | Apr 1, 2022 | 100% | |
| Saber Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 100% |
| WWBV Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 100% |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Dec 31, 2020 | 22.22% |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| SHG Management LLC | Other | Sep 1, 2019 | |
| Saber Governance LLC | Operational/Managerial Control | Sep 1, 2019 | 100% |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2020 | 22.22% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 77.78% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| SHH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 100% |
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Sep 30, 2020 | 77.78% |
Facilities with the same owner 116
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Altavista, VA
- NPI 1316582133
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV
-
- Skilled Nursing Facility
- Fishersville, VA
- NPI 1003892662
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV
-
- Skilled Nursing Facility
- Suffolk, VA
- NPI 1154307890
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Madison, VA
- NPI 1194701888
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Galax, VA
- NPI 1366428922
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Mechanicsville, VA
- NPI 1366789075
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1376529925
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Portsmouth, VA
- NPI 1710963459
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1770569410
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Chatham, VA
- NPI 1982831582
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV
-
- Skilled Nursing Facility
- Chester, VA
- NPI 1376774745
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Clarksville, VA
- NPI 1134738248
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHH Holdings LLC, Wiw Dynasty LLC, WWBV Holdings LLC
Practitioners & affiliated clinicians
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": "1269216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641772800000",
"number": "1891019733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BRIMLEY DRIVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22406",
"telephone_number": "540-752-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAFFORD HEALTHCARE GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2010-03-22",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FALLS RUN NURSING AND REHABILITATION",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FALLS RUN NURSING AND REHABILITATION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.