SENTARA LIFE CARE CORPORATION (NPI# 1104817964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104817964 |
Entity Type | Organization |
Organization Name | SENTARA LIFE CARE CORPORATION |
Other Organization Name | SENTARA NURSING CENTER CURRITUCK |
Practice Address |
3907 Caratoke Hwy Barco NC 27917-9500 |
Mailing Address |
251 S Newtown Rd Norfolk VA 23502-5718 |
Practice Telephone | 2524570500 |
Practice Fax Number | 2524570501 |
Mailing Telephone | 7578925400 |
Mailing Fax Number | 7578925401 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2010-05-06 |
Authorized Official Name | BRUCE ROBERTSON (VICE PRESIDENT SENTARA LIFE CARE) |
Authorized Official Telephone | 7578925400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | NH0445 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 34-5289 | 05 | |
NC | 34-6443 | 05 |
Other Name | Type Code |
---|---|
Sentara Nursing Center Currituck | Doing Business As Name - Organization |
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 |
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 |
1548251358 | Sentara Life Care Corporation | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 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 |
3907 CARATOKE HWY |
City | BARCO |
State | NC |
Zip Code | 27917-9500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306454889 | Sharese Smith | Physical Therapist | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2020-07-21 |
1578187621 | Kristen Tillery Bernard | Occupational Therapy Assistant | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2020-06-04 |
1639630452 | Currituck Health & Rehab Center, LLC | Skilled Nursing Facility | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2019-03-26 |
1417329756 | Charles Loy | Physical Therapist | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2015-10-27 |
1780003269 | Colleen Mclaughlin | Occupational Therapist | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2014-04-10 |
1649602574 | April Knight | Occupational Therapist | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2013-08-02 |
1821388349 | Maureen Neill Meehan | Occupational Therapist | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2011-04-18 |
1447571526 | Danielle Knibb | Physical Therapist | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2010-06-12 |
1518115401 | Ellen Stewart Grandy | Physical Therapy Assistant | 3907 Caratoke Hwy, Sentara Nursing Center, Barco, NC 27917 | 2008-09-04 |
1699923813 | Rita K. Davis | Physical Therapy Assistant | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2008-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912001397 | Michael R Martz | Family Medicine | 4039 Caratoke Hwy, Barco, NC 27917 | 2006-09-07 |
1255601886 | Uplift Comprehensive Services | Community/Behavioral Health | 4203 Caratoke Hwy, Barco, NC 27917-9515 | 2012-01-12 |
1114919537 | Michael R Martz | Family Medicine | 4039 Caratoke Hwy, Barco, NC 27917-9520 | 2005-08-22 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639630452 | Currituck Health & Rehab Center, LLC | Skilled Nursing Facility | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2019-03-26 |
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1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
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1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
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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.