Active NPI
Lakeside Health & Rehab Center, LLC
- Skilled Nursing Facility
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LAKESIDE HEALTH & REHAB CENTER, LLC
- Practice address
- 13825 Hunton LN
Huntersville, NC 28078-6190 - Phone
- (704) 897-2700
- NPI assigned
- Oct 3, 2022
- Last updated
- Oct 3, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
13825 Hunton LN
Huntersville, NC 28078-6190
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230207003703 | NC | Part A Provider - Skilled Nursing Facility | 7719359397 | Practice locations: Huntersville, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982328829. Details of each certification follow.
Skilled nursing facility certification: CCN 345541
- Legal name
- LAKESIDE HEALTH & REHAB CENTER, LLC
- Doing business as
- LAKESIDE HEALTH & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 31, 2007
- Last certification
- Sep 27, 2024
- Beds
- 114
- Ownership / control type
- Federal
- Multi-facility organization
- Saber Healthcare
- Organization structure
- LLC
- Enrollment address
- 13825 Hunton LN
Huntersville, NC 28078-6190 - Nursing home name
- LAKESIDE HEALTH & REHAB CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lakeside Health & Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - Federal
- Certified
- Oct 31, 2007
- Medicare certification status
- Active
- Certified beds
- 114
- Chain
- Saber Healthcare Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
As 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 |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 100% |
| Adp of the SNF | Feb 24, 2026 | ||
| Ohl Asset (NC) Huntersville SNF, LP | 5% Or Greater Security Interest | Dec 1, 2022 | 100% |
| Adp of the SNF | Dec 1, 2022 | ||
| SHG Boa LLC | Adp of the SNF | Feb 24, 2026 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 33% |
| Sandeep B Patel | Adp of the SNF | May 8, 2025 | |
| Gregory Nicoluzakis | Corporate Officer | Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| Darin Hopping | Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| SHG Management LLC | Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| Saber Governance LLC | Operational/Managerial Control | Dec 1, 2022 | 100% |
| Saber Healthcare Group LLC | Adp of the SNF | Dec 1, 2022 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 33% |
| Benjamin N Volpe | Corporate Officer | Dec 1, 2022 | |
| Corporate Director | Dec 1, 2022 | 50% | |
| Adp of the SNF | Dec 1, 2022 | ||
| Citrin Cooperman Advisors LLC | Adp of the SNF | Dec 1, 2022 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 77.7% |
| TCF National Bank | Adp of the SNF | Apr 1, 2024 | |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Dec 1, 2022 | 50% | |
| Adp of the SNF | Dec 1, 2022 | ||
| Walker & Associates PC | Adp of the SNF | Dec 18, 2023 | |
| Joyce Jones | Operational/Managerial Control | Jun 16, 2025 | |
| Adp of the SNF | Jun 16, 2025 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| SHG Mt, LLC | Adp of the SNF | Feb 24, 2026 |
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 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Autumn Care of Biscoe
- Skilled Nursing Facility
- Biscoe, NC
- NPI 1255878245
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Fayetteville, NC
- NPI 1114463932
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Statesville
- Skilled Nursing Facility
- Statesville, NC
- NPI 1730722240
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
dba Autumn Care of Nash
- Skilled Nursing Facility
- Nashville, NC
- NPI 1053396788
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Myrtle Grove
- Skilled Nursing Facility
- Wilmington, NC
- NPI 1073599635
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
dba Autumn Care of Marshville
- Skilled Nursing Facility
- Marshville, NC
- NPI 1093791337
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
dba Autumn Care of Drexel
- Skilled Nursing Facility
- Morganton, NC
- NPI 1275519506
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
dba Autumn Care of Shallotte
- Skilled Nursing Facility
- Shallotte, NC
- NPI 1346226040
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Wiw Dynasty LLC
-
dba Autumn Care of Cornelius
- Skilled Nursing Facility
- Cornelius, NC
- NPI 1376932889
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Salisbury
- Skilled Nursing Facility
- Salisbury, NC
- NPI 1508842295
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Waynesville
- Skilled Nursing Facility
- Waynesville, NC
- NPI 1528044294
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Autumn Care of Marion
- Skilled Nursing Facility
- Marion, NC
- NPI 1609852375
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, SHG Management LLC, Wiw Dynasty LLC
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1982328829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13825 HUNTON LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786190",
"telephone_number": "704-897-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESIDE HEALTH & REHAB CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.