Organization Active NPI

Rosedale SNF Operations LLC

  • Skilled Nursing Facility
  • Richmond, VA
National Provider Identifier
1891406211
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Dec 6, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 25.89%
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest Feb 1, 2023 24.62%
Stephanie Crabbe Individual W-2 Managing EmployeeAdministrator Feb 1, 2023
PH VA LLC Organization, Brooklyn, NY LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 10.93%
HVH VA Pro 7 SNF Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 53.12%
CRG VA Pro 7 SNF Holdings LLC Organization, Springs Valley, NY LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 12.5%
Shimon Idels Individual Corporate OfficerAuthorized Official Feb 1, 2023
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Feb 1, 2023 24.62%
Lion 26 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 25.89%
VA Pro 7 SNF Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%

National Provider Directory

National Provider Directory

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

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 & RehabilitationCCN 495283
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128123.9 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Penalties (3 years)
1Fines totaling $73,788

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
49D0882612Rosedale Health & Rehabilitation1719 Bellevue Avenue, Richmond, VA 23227Certificate of waiverFeb 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

Verify at the official NPI Registry.