Organization Active NPI

Asheville Beaverdam NC Opco LLC

  • Skilled Nursing Facility
  • Asheville, NC
National Provider Identifier
1992576052
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jan 9, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabilitationCCN 345010 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7765.3 residents per day on average
Chain
Ascent Healthcare Management6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Nebo Holdco LLC Organization, Brooklyn, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Yisroel Friedman Individual 5% Or Greater Indirect Ownership InterestPresident May 1, 2024 100%
Operational/Managerial Control May 1, 2024
Kamuina Badimu Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Katherine Grimes Crum Individual 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.

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.

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": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.