SENTARA HOSPITALS (NPI# 1053475004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053475004 |
| Entity Type | Organization |
| Organization Name | SENTARA HOSPITALS |
| Other Organization Name | SENTARA OBICI HOSPITAL PSYCHIATRIC UNIT |
| Practice Address |
2800 Godwin Blvd Suffolk VA 23434-8038 |
| Mailing Address |
6015 Poplar Hall Dr Suite 200 Norfolk VA 23502-3819 |
| Practice Telephone | 7579344751 |
| Mailing Telephone | 7574557102 |
| Mailing Fax Number | 7574557919 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. ROBERT A. BROERMANN (CFO, SH) |
| Authorized Official Telephone | 7574557020 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENTARA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H 1869 | VA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 49-0044-8 | 05 |
| Other Name | Type Code |
|---|---|
| Sentara Obici Hospital Psychiatric Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540138 | Sentara Hospitals | General Acute Care Hospital | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2005-07-07 |
| 1891287504 | Sentara Hospitals | Early Intervention Provider Agency | 818 Newtown Rd, Virginia Beach, VA 23462-1116 | 2018-05-30 |
| 1396275418 | Sentara Hospitals | Pharmacy | 600 Gresham Drive, Retail Pharmacy, Norfolk, VA 23507 | 2017-06-13 |
| 1821403791 | Sentara Hospitals | Pharmacy | 830 Kempsville Rd, Norfolk, VA 23502-3920 | 2014-06-30 |
| 1225370448 | Sentara Hospitals | Psychiatric Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2013-03-26 |
| 1689916884 | Sentara Hospitals | Skilled Nursing Facility | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2013-03-26 |
| 1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
| 1467699199 | Sentara Hospitals | Rehabilitation Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2009-01-16 |
| 1467589234 | Sentara Hospitals | Pharmacy | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2007-02-27 |
| 1235205147 | Sentara Hospitals | Ambulance | 600 Gresham Dr, Norfolk, VA 23507 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Sentara Hospitals | 6015 Poplar Hall Drive, Norfork, Virginia 23502 |
| North Carolina Corporations | Sentara Hospitals-Norfolk | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | SENTARA HOSPITALS-NORFOLK | 6015 Poplar Hall Dr Suite 300, Norfolk, Virginia 23502 |
| Street Address |
2800 GODWIN BLVD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540138 | Sentara Hospitals | General Acute Care Hospital | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2005-07-07 |
| 1760008825 | Holly Kristin Whiting | Registered Nurse | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2020-06-24 |
| 1649894080 | Sheryl Sharrell Arrington | Nurse Practitioner | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2020-06-02 |
| 1093336471 | Stuart Ray Doughtie Sr. | Pharmacist | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2020-04-27 |
| 1326515925 | Melissa M Bush | Hospitalist | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2018-11-01 |
| 1568982155 | Amjad Minhas | Internal Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2017-06-23 |
| 1104273895 | Megan Skillen Aleksa | Dietitian, Registered | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2016-05-23 |
| 1720447501 | Sentara Medical Group | Preventive Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2016-02-22 |
| 1700273794 | Muhammad Shahid | Internal Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2015-04-17 |
| 1942609003 | Natalie Danielle Tacke | Nurse Practitioner | 2800 Godwin Blvd, 1st Fl, Suffolk, VA 23434-8038 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326594524 | Virginia Commonwealth University Health System | Psychiatric Unit | 1300 E. Marshall Street, Suite 275 3rd F, Richmond, VA 23298 | 2016-08-28 |
| 1528005691 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2006-05-31 |
| 1922004530 | Chesapeake Hospital Corporation | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2005-06-28 |
| 1467097535 | Bon Secours Mercy Health Emporia LLC | Psychiatric Unit | 727 N Main St, Emporia, VA 23847-1274 | 2019-11-13 |
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| 1790135622 | Chesapeake Hospital LLC | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2016-06-22 |
| 1902274681 | Southwestern Virginia Mental Health Institute | Psychiatric Unit | 340 Bagley Cir, Marion, VA 24354-3126 | 2015-09-11 |
| 1164815544 | Chippenham & Johnston-willis Hospitals, Inc. | Psychiatric Unit | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2015-03-10 |
| 1790178176 | Columbia/hca John Randolph, Inc. | Psychiatric Unit | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2015-03-10 |
| 1609269083 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2015-03-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.