NPIMap

Organization Active NPI

Beth Abraham Village LLC

Doing business as Maimonides Health Center of Virginia Beach

  • Skilled Nursing Facility
  • Virginia Beach, VA
National Provider Identifier
1922792233
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BETH ABRAHAM VILLAGE LLC
Doing business as
Maimonides Health Center of Virginia Beach
Practice address
6401 Auburn Dr
Virginia Beach, VA 23464-3601
Phone
(757) 420-2512
NPI assigned
Jun 8, 2023
Last updated
Dec 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Mr. Manny Stern
Title
Director of Operation
Phone
(757) 420-2512

Specialties & licenses 1

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

Addresses

Primary practice location

6401 Auburn Dr
Virginia Beach, VA 23464-3601

Mailing address

1135 E Veterans Hwy Ste 1
Jackson, NJ 08527-5090

Other names 1

  • Maimonides Health Center of Virginia Beach Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230914004124 VA Part A Provider - Skilled Nursing Facility 9133583727 Practice locations: Virginia Beach, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922792233. Details of each certification follow.

Skilled nursing facility certification: CCN 495186

Legal name
BETH ABRAHAM VILLAGE LLC
Doing business as
MAIMONIDES HEALTH CENTER OF VIRGINIA BEACH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 20, 1989
Last certification
Jan 26, 2023
Beds
120
Ownership / control type
Other Nonprofit
Most recent change of ownership
Jul 1, 2023
Organization structure
LLCProprietary
Enrollment address
6401 Auburn Dr
Virginia Beach, VA 23464-3601
Nursing home name
MAIMONIDES HEALTH CENTER OF VIRGINIA BEACH
Affiliated entity
GREEN TREE HEALTH MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maimonides Health Center of Virginia BeachCCN 495186 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 20, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.5 residents per day on average
Chain
Green Tree Health Management8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $27,626

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
49D0675211Maimonides Health Center of Virginia Beach6401 Auburn Drive, Virginia Beach, VA 23464Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
SJ Family Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2023 23.3%
Adp of the SNF Jul 1, 2023
Beth Abraham Village Opco Holdco LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
GSGH VB Healthcare LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 5%
Adp of the SNF Jul 1, 2023
Ads Capital Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2023 23.3%
Adp of the SNF Jul 1, 2023
1026 Enterprises II, LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 43%
Adp of the SNF Jul 1, 2023
SJ Healthcare Capital LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 24.5%
Adp of the SNF Aug 1, 2022
Individual Adp of the SNF Apr 9, 2025
PC8 Capital Group LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 24.5%
Adp of the SNF Aug 1, 2024
10-26 Nationwide TR Organization, Virginia Beach, VA 5% Or Greater Indirect Ownership Interest Jul 1, 2023 40.9%
Adp of the SNF Jul 1, 2023
Aharon Stern Individual Corporate OfficerAuthorized Official Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Joseph Fields Individual Operational/Managerial Control Jan 21, 2025
Adp of the SNF Mar 26, 2025
MBM 2016 Family Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Jul 1, 2023 5%
Adp of the SNF Jul 1, 2023

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1922792233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E VETERANS HWY STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ABRAHAM VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "757-420-2512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maimonides Health Center of Virginia Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maimonides Health Center of Virginia Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.