BEVERLY ENTERPRISES - VIRGINIA, INC (NPI# 1154378347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154378347 |
| Entity Type | Organization |
| Organization Name | BEVERLY ENTERPRISES - VIRGINIA, INC |
| Other Organization Name | GOLDEN LIVINGCENTER - CHARLOTTESVILLE |
| Practice Address |
1242 Cedars Ct Charlottesville VA 22903-4800 |
| Practice Telephone | 4342965611 |
| Mailing Telephone | 4342965611 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | HOLLY RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY HEALTH AND REHABILITATION SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 49-5153-1 | 05 | |
| VA | AETNA | 523418 | 01 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Charlottesville | Doing Business As Name - Organization |
| Street Address |
1242 CEDARS CT |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295370906 | Coral Dean | Occupational Therapist | 1242 Cedars Ct, Charlottesville, VA 22903-4800 | 2019-11-18 |
| 1528549201 | Mariette Slater | Speech-Language Pathologist | 1242 Cedars Ct, Charlottesville, VA 22903-4800 | 2018-08-22 |
| 1386185809 | Cedars Leasing Co., LLC | Skilled Nursing Facility | 1242 Cedars Ct, Charlottesville, VA 22903-4800 | 2017-03-16 |
| 1255776696 | Nidhi Arora | Physical Therapist | 1242 Cedars Ct, Golden Living Center, Charlottesville, VA 22903-4800 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| 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 |
|---|---|---|---|---|
| 1720459159 | Albemarle H&r Ops, LLC | Skilled Nursing Facility | 1540 Founders Place, Charlottesville, VA 22902-8733 | 2015-10-12 |
| 1457597874 | Medical Facilities of America Lxxvi 76 Limited Partnership | Skilled Nursing Facility | 505 West Rio Rd, Charlottesville, VA 22901-1411 | 2009-01-07 |
| 1558329532 | Charlottesville Pointe Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1150 Northwest Dr, Charlottesville, VA 22901-2309 | 2006-05-01 |
| 1811965551 | Sunrise Continuing Care LLC | Skilled Nursing Facility | 2600 Barracks Rd, Charlottesville, VA 22901-2100 | 2006-03-09 |
| 1306836655 | Albemarle Lifecare Corp | Skilled Nursing Facility | 505 Rio Rd W, Charlottesville, VA 22901-1411 | 2005-10-27 |
| 1881188829 | Monroe Health & Rehab Center, LLC | Skilled Nursing Facility | 1150 Northwest Dr, Charlottesville, VA 22901-2309 | 2018-06-21 |
| 1457848699 | Welltower Ccrc Opco LLC | Skilled Nursing Facility | 100 Colonnades Hill Dr, Charlottesville, VA 22901-2204 | 2018-04-13 |
| 1386185809 | Cedars Leasing Co., LLC | Skilled Nursing Facility | 1242 Cedars Ct, Charlottesville, VA 22903-4800 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.