Organization Active NPI

Stafford Healthcare Group, Inc.

  • Skilled Nursing Facility
  • Fredericksburg, VA
National Provider Identifier
1891019733
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 RehabilitationCCN 495407
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 21, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9087.3 residents per day on average
Chain
Saber Healthcare Group126 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
49D2022015Stafford Healthcare Group, Inc140 Brimley Drive, Fredericksburg, VA 22406Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Falls Run Nursing and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Jeffrey John Kulp Individual W-2 Managing EmployeeAdministrator Oct 7, 2017 100%
Operational/Managerial ControlAdministrator Apr 1, 2022 100%
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2014 100%
WWBV Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2019 100%
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Dec 31, 2020 22.22%
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC, For-profit Other Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC, For-profit Operational/Managerial Control Sep 1, 2019 100%
BNV Dynasty LLC Organization, Beachwood, OH LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2020 22.22%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Wiw Dynasty LLC Organization, Beachwood, OH LLC 5% Or Greater Indirect Ownership Interest Sep 30, 2019 77.78%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
SHH Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH 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.

View all 116

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

Verify at the official NPI Registry.