NPIMap

Organization Active NPI

Combs Street Operating Company LLC

  • Skilled Nursing Facility
  • Sparta, NC
National Provider Identifier
1891470332
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMBS STREET OPERATING COMPANY LLC
Practice address
179 Combs St
Sparta, NC 28675-8429
Phone
(336) 372-2441
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yosef Emanuel
Title
Member
Phone
(917) 745-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

179 Combs St
Sparta, NC 28675-8429

Mailing address

179 Combs St
Sparta, NC 28675-8429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113001046 NC Part A Provider - Skilled Nursing Facility 5294182226 Practice locations: Sparta, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891470332. Details of each certification follow.

Skilled nursing facility certification: CCN 345261

Legal name
COMBS STREET OPERATING COMPANY LLC
Doing business as
LOTUS VILLAGE CENTER FOR NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 23, 1987
Last certification
Feb 22, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Alliance Health
Organization structure
LLCProprietary
Incorporated
May 25, 2023 in NC
Enrollment address
179 Combs St
Sparta, NC 28675-8429
Nursing home name
LOTUS VILLAGE CENTER FOR NURSING AND REHABILITATION
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lotus Village Center for Nursing and RehabilitatioCCN 345261 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 23, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9077.6 residents per day on average
Chain
Simcha Hyman & Naftali Zanziper79 facilities in the chain
Penalties (3 years)
5Fines totaling $337,573

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
34D0677452Combs Street Operating Company, LLC179 Combs Street, Sparta, NC 28675Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
SHNZ Holdings LLC Organization, Englewood Cliffs, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 81%
Indirect Ownership Interest Jul 1, 2023 81%
PPG Ee Group LLC Organization, Englewood Cliffs, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2023 9%
Indirect Ownership Interest Jul 1, 2023 9%
Zanziper Family Trust Organization, Englewood Cliffs, NJ Created for acquisition 5% Or Greater Indirect Ownership Interest Jul 1, 2023 50%
Trustee of the SNF Jul 1, 2023
Indirect Ownership Interest Jul 1, 2023 50%
Coalition Group LLC Organization, Lawrence, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Direct Ownership Interest Jul 1, 2023 100%
HC Family Trust Organization, Englewood Cliffs, NJ Created for acquisition 5% Or Greater Indirect Ownership Interest Jul 1, 2023 40.5%
Trustee of the SNF Jul 1, 2023
Indirect Ownership Interest Jul 1, 2023 40.5%
Brenda Edwards Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Yosef Emanuel Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 10%
Indirect Ownership Interest Jul 1, 2023 10%
Michael J Piazza Individual Adp of the SNF Jul 1, 2023
Alliance Health Group LLC Organization, Valley Stream, NY LLC, Management services company Operational/Managerial Control Jul 1, 2023
Adp of the SNF Mar 11, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 73

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

View all 73

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1891470332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 COMBS ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 COMBS ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758429",
            "telephone_number": "336-372-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBS STREET OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-745-7945"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

Verify at the official NPI Registry.