PORTSIDE HEALTH & REHAB CENTER, LLC (NPI# 1205397080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205397080 |
| Entity Type | Organization |
| Organization Name | PORTSIDE HEALTH & REHAB CENTER, LLC |
| Practice Address |
4201 Greenwood Dr Portsmouth VA 23701-3250 |
| Mailing Address |
26691 Richmond Rd Bedford Heights OH 44146-1421 |
| Practice Telephone | 7576735000 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | WILLIAM WEISBERG (PRESIDENT) |
| Authorized Official Telephone | 2162925706 |
| Is Organization Subpart | Y |
| Parent Organization Name | SABER HEALTHCARE HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
4201 GREENWOOD DR |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251358 | Sentara Life Care Corporation | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| 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 |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1669713897 | Med-systems of Portsmouth LLC | Skilled Nursing Facility | 1319 Spring St, Portsmouth, OH 45662-3715 | 2013-03-13 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1437195450 | Thi of Ohio At Golden Years LLC | Skilled Nursing Facility | 2125 Royce St, Portsmouth, OH 45662-4714 | 2006-06-20 |
| 1275578163 | Heartland of Portsmouth Oh LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2006-06-17 |
| 1881645182 | Ggnsc Portsmouth LLC | Skilled Nursing Facility | 900 London Blvd, Portsmouth, VA 23704-2236 | 2006-05-12 |
| 1710963459 | Autumn Corporation | Skilled Nursing Facility | 3610 Winchester Dr, Portsmouth, VA 23707-4330 | 2005-12-15 |
| 1548251358 | Sentara Life Care Corporation | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 2005-11-01 |
| 1972500692 | Kkj Enterprises, Inc | Skilled Nursing Facility | 1319 Spring Street, Portsmouth, OH 45662 | 2005-07-07 |
| 1548744287 | Portsmouth Healthcare LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2018-09-19 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
Please comment or provide details below to improve the information on PORTSIDE HEALTH & REHAB CENTER, LLC.
| 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.