Active NPI
Rosedale SNF Operations LLC
- Skilled Nursing Facility
- Richmond, VA
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- All disclosed owners & managing parties10
- National Provider Directory
- Facilities with the same owner47
- Affiliated clinicians1
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- NPI Registry JSON
- Other providers in Richmond, VA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROSEDALE SNF OPERATIONS LLC
- Practice address
- 1719 Bellevue Ave
Richmond, VA 23227-3901 - Phone
- (804) 262-7364
- NPI assigned
- Dec 6, 2022
- 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
- Joseph Lieberman
- Title
- Vice President of Procurement
- Phone
- (646) 275-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1719 Bellevue Ave
Richmond, VA 23227-3901
Mailing address
1719 Bellevue Ave
Richmond, VA 23227-3901
Other names 1
- Rosedale Health & 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 |
|---|---|---|---|---|
| O20230303002356 | VA | Part A Provider - Skilled Nursing Facility | 8820461353 | Practice locations: Richmond, VA |
Skilled nursing facility certification: CCN 495283
- Legal name
- ROSEDALE SNF OPERATIONS LLC
- Doing business as
- ROSEDALE HEALTH & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1993
- Last certification
- Sep 21, 2023
- Beds
- 128
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Hill Valley Healthcare, LLC
- Most recent change of ownership
- Feb 1, 2023
- Organization structure
- LLC
- Incorporated
- Nov 29, 2022 in NV
- Enrollment address
- 1719 Bellevue Ave
Richmond, VA 23227-3901 - Nursing home name
- ROSEDALE HEALTH & REHABILITATION
- Affiliated entity
- HILL VALLEY HEALTHCARE
All disclosed owners & managing parties 10
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Sabrina 1818 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 25.89% |
| Saessy Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 24.62% |
| Stephanie Crabbe | W-2 Managing Employee | Feb 1, 2023 | |
| PH VA LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 10.93% |
| HVH VA Pro 7 SNF Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 53.12% |
| CRG VA Pro 7 SNF Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 12.5% |
| Shimon Idels | Corporate Officer | Feb 1, 2023 | |
| Tatiriq Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 24.62% |
| Lion 26 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 25.89% |
| VA Pro 7 SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 100% |
National Provider Directory
National Provider DirectoryFacilities with the same owner 47
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Alexandria, VA
- NPI 1346951761
CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC
-
- Skilled Nursing Facility
- Amherst, VA
- NPI 1174297063
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Bedford, VA
- NPI 1508530387
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1881388510
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Stuart, VA
- NPI 1013478411
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Arlington, VA
- NPI 1700597127
CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC
-
- Skilled Nursing Facility
- Lynchburg, VA
- NPI 1679247563
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Winchester, VA
- NPI 1487221107
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Fairfax, VA
- NPI 1972214393
CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC
-
- Skilled Nursing Facility
- Fork Union, VA
- NPI 1194441949
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Dublin, VA
- NPI 1679034078
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
-
- Skilled Nursing Facility
- Farmville, VA
- NPI 1235886607
Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rosedale Health & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1993
- Medicare certification status
- Active
- Certified beds
- 128
- Chain
- Hill Valley Healthcare
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 49D0882612 | Rosedale Health & Rehabilitation | Certificate of waiver | Feb 14, 2028 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1891406211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 BELLEVUE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232273901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 BELLEVUE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232273901",
"telephone_number": "804-262-7364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEDALE SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosedale Health & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.