Organization Active NPI

Wyndhurst SNF Operations LLC

Doing business as Summit Health and Rehab Center

  • Skilled Nursing Facility
  • Lynchburg, VA
National Provider Identifier
1922772771
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WYNDHURST SNF OPERATIONS LLC
Doing business as
Summit Health and Rehab Center
Wyndhurst Health & Rehabilitation
Practice address
1300 Enterprise Dr
Lynchburg, VA 24502-5746
Phone
(434) 845-6045
NPI assigned
Aug 5, 2021
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Joseph Lieberman
Title
Director of Financial Operations
Phone
(516) 855-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1300 Enterprise Dr
Lynchburg, VA 24502-5746

Mailing address

1007 Broadway
Woodmere, NY 11598-1246

Other names 2

  • Summit Health and Rehab Center Doing business as
  • Wyndhurst 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
O20211218000142 VA Part A Provider - Skilled Nursing Facility 7517358906 Practice locations: Lynchburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922772771. Details of each certification follow.

Skilled nursing facility certification: CCN 495381

Legal name
WYNDHURST SNF OPERATIONS LLC
Doing business as
WYNDHURST HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 16, 2004
Last certification
May 1, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Hill Valley Health Care
Most recent change of ownership
Nov 1, 2021
Organization structure
LLCProprietary
Incorporated
May 11, 2021 in VA
Enrollment address
1300 Enterprise Dr
# 1300
Lynchburg, VA 24502-5746
Nursing home name
SUMMIT HEALTH AND REHAB CENTER
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Summit Health and Rehab CenterCCN 495381 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 16, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120110.5 residents per day on average
Chain
Hill Valley Healthcare43 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
49D1024651Wyndhurst Health and Rehabilitation1300 Enterprise Drive, Lynchburg, VA 24502Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Timberlake Operations Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 47.5%
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest Nov 1, 2021 45.2%
HVH Timberlake Management LLC Organization, Woodmere, NY LLC Operational/Managerial Control Nov 1, 2021 100%
Shimon Idels Individual Corporate Officer Nov 1, 2021
Delilah 2626 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 5%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Nov 1, 2021 45.2%
Wyndhurst SNF Holdings LLC Organization, Woodmere, NY LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Lion 26 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 47.5%
Andrew Shuler Individual Operational/Managerial Control Jul 1, 2026
Adp of the SNF Jul 1, 2026

Facilities with the same owner 47

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

View all 47

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": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1922772771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025746",
            "telephone_number": "434-845-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDHURST SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "516-855-5504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wyndhurst Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.