Active NPI
Asheville Beaverdam NC Opco LLC
- Skilled Nursing Facility
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ASHEVILLE BEAVERDAM NC OPCO LLC
- Practice address
- 500 Beaverdam Rd
Asheville, NC 28804-1806 - Phone
- (828) 254-8833
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Israel Friedman
- Title
- Coo
- Phone
- (845) 825-0449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
500 Beaverdam Rd
Asheville, NC 28804-1806
Mailing address
3512 Quentin Rd
Brooklyn, NY 11234-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250424002636 | NC | Part A Provider - Skilled Nursing Facility | 0749728830 | Practice locations: Asheville, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992576052. Details of each certification follow.
Skilled nursing facility certification: CCN 345010
- Legal name
- ASHEVILLE BEAVERDAM NC OPCO LLC
- Doing business as
- BEAR MOUNTAIN HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1967
- Last certification
- May 9, 2025
- Beds
- 77
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Ascent Healthcare Management
- Organization structure
- LLC
- Enrollment address
- 500 Beaverdam Rd
Asheville, NC 28804-1806 - Nursing home name
- BEAR MOUNTAIN HEALTH AND REHABILITATION
- Affiliated entity
- ASCENT HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bear Mountain Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1967
- Medicare certification status
- Active
- Certified beds
- 77
- Chain
- Ascent Healthcare Management
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Nebo Holdco LLC | 5% Or Greater Direct Ownership Interest | May 1, 2024 | 100% |
| Yisroel Friedman | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 100% |
| Operational/Managerial Control | May 1, 2024 | ||
| Kamuina Badimu | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Katherine Grimes Crum | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Asheville, NC
- NPI 1336374081
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Asheville, NC
- NPI 1093001760
-
- General Practice Physician
- Asheville, NC
- NPI 1336374081
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": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1992576052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 QUENTIN RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BEAVERDAM RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288041806",
"telephone_number": "828-254-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHEVILLE BEAVERDAM NC OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "ISRAEL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "845-825-0449"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.