SENTARA LIFE CARE CORPORATION (NPI# 1104059047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059047 |
| Entity Type | Organization |
| Organization Name | SENTARA LIFE CARE CORPORATION |
| Practice Address |
251 S Newtown Rd Norfolk VA 23502-5718 |
| Practice Telephone | 7578925400 |
| Practice Fax Number | 7578925401 |
| Mailing Telephone | 7578925400 |
| Mailing Fax Number | 7578925401 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | MR. BRUCE S ROBERTSON (VP, ADMINISTRATOR) |
| Authorized Official Telephone | 7578925400 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENTARA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059748 | Sentara Life Care Corporation | Assisted Living Facility | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-04 |
| 1346231560 | Sentara Life Care Corporation | Assisted Living Facility | 3751 Sentara Way, Virginia Beach, VA 23452-4200 | 2005-11-04 |
| 1619968112 | Sentara Life Care Corporation | Custodial Care Facility | 665 Newtown Rd, Virginia Beach, VA 23462-1683 | 2005-11-03 |
| 1528059029 | Sentara Life Care Corporation | Skilled Nursing Facility | 2230 Executive Dr, Hampton, VA 23666-2430 | 2005-11-03 |
| 1720079585 | Sentara Life Care Corporation | Skilled Nursing Facility | 3750 Sentara Way, Virginia Beach, VA 23452-4200 | 2005-11-02 |
| 1215928783 | Sentara Life Care Corporation | Assisted Living Facility | 778 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2005-11-02 |
| 1104817964 | Sentara Life Care Corporation | Skilled Nursing Facility | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2005-11-02 |
| 1093706863 | Sentara Life Care Corporation | Nursing Facility/Intermediate Care Facility | 1604 Old Donation Pkwy, Virginia Beach, VA 23454-3063 | 2005-11-02 |
| 1093706806 | Sentara Life Care Corporation | Skilled Nursing Facility | 249 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-01 |
| 1376534180 | Sentara Life Care Corporation | Skilled Nursing Facility | 776 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2005-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Sentara Life Care Corporation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | Sentara Life Care Corporation | 251 S Newtown Rd, Norfolk, Virginia 23502 |
| Street Address |
251 S NEWTOWN RD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059748 | Sentara Life Care Corporation | Assisted Living Facility | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-04 |
| 1861015406 | Virginia Renal Holdings, LLC | Clinic/Center | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588838817 | Dwayne R Cook Heritage Mobile X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6330 N Center Dr, Suite 107, Norfolk, VA 23502-4008 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366773962 | Haydrick Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9016 Laurel Oak Ln, Fredericksburg, VA 22407-9356 | 2010-01-20 |
| 1114122587 | Mmds International LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 845 Duff Patt Highway, Duffield, VA 24244-0584 | 2007-06-18 |
| 1861528747 | Mmds of Kingsport LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 367 Natures Way Dr, Duffield, VA 24244-5153 | 2007-02-26 |
| 1164583902 | Axios Care LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6603 W Broad St Ste 100, Richmond, VA 23230-1713 | 2006-12-13 |
| 1508943697 | Mobile Diagnostics PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 350 Lee Highway, Verona, VA 24482 | 2006-11-01 |
| 1801835889 | Berger and Burrow Enterprises Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2301 N Parham Rd Ste 4, Henrico, VA 23229-3171 | 2006-06-05 |
| 1396707345 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6580 Valley Center Dr #302, Radford, VA 24141 | 2006-04-05 |
| 1538714704 | Pdi Health Va LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7400 Beaufont Springs Dr, North Chesterfield, VA 23225-5556 | 2019-08-05 |
| 1588226286 | United Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-07-02 |
| 1598286437 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
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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.