Organization Active NPI

11 Dairy Lane Operations LLC

Doing business as Woodmont Center

  • Skilled Nursing Facility
  • Fredericksburg, VA
National Provider Identifier
1982885406
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2735 Issued in VA
Legal business name
11 DAIRY LANE OPERATIONS LLC
Doing business as
Woodmont Center
Practice address
11 Dairy LN
Fredericksburg, VA 22405-2663
Phone
(540) 371-9414
Fax
(540) 371-4501
NPI assigned
Nov 27, 2007
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Michael T Berg
Title
Corporate Secretary
Phone
(610) 444-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2735 VA Primary

Addresses

Primary practice location

11 Dairy LN
Fredericksburg, VA 22405-2663

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other names 1

  • Woodmont Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000622 VA Part A Provider - Skilled Nursing Facility 2365527009 Practice locations: Fredericksburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982885406. Details of each certification follow.

Skilled nursing facility certification: CCN 495246

Legal name
11 DAIRY LANE OPERATIONS LLC
Doing business as
WOODMONT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 5, 1991
Last certification
Jan 25, 2023
Beds
118
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Genesis
Most recent change of ownership
Apr 1, 2011
Organization structure
LLCProprietary
Incorporated
Aug 16, 2007 in VA
Enrollment address
11 Dairy Lane
Woodmont Center
Fredericksburg, VA 22404-0419
Nursing home name
WOODMONT CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodmont CenterCCN 495246 · All quality measures
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 - Corporation
Certified
Jul 5, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11894.2 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Penalties (3 years)
1Fines totaling $75,712

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
HCCF Management Group XI LLC Organization, Alpharetta, GA Investment firm, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 10.8%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jan 29, 2025
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis VA Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2011 100%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jan 29, 2025
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Paul R Tompkins Individual Operational/Managerial Control May 1, 2020
Adp of the SNF Jan 29, 2025
Nicole Threatt Individual Operational/Managerial Control Oct 25, 2021
Adp of the SNF Jan 29, 2025
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Operations LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Adp of the SNF Jan 29, 2025
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 25.75%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 10.8%
Genesis Healthcare Inc. (Publicly Traded) Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 8.48%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 7.6%
Michael T Berg Individual Corporate OfficerSecretary Mar 2, 2015 100%
Welltower Inc Organization, Toledo, OH Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 7.6%
GHC Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

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 178

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

View all 178

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1982885406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DAIRY LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052663",
            "telephone_number": "540-371-9414",
            "fax_number": "540-371-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11 DAIRY LANE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodmont Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.