SENTARA LIFE CARE CORPORATION (NPI# 1326039546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326039546 |
| Entity Type | Organization |
| Organization Name | SENTARA LIFE CARE CORPORATION |
| Other Organization Name | SENTARA ADULT DAY HEALTH CARE CENTER |
| Practice Address |
3751 Sentara Way Virginia Beach VA 23452-4200 |
| Mailing Address |
251 S Newtown Rd Norfolk VA 23502-5718 |
| Practice Telephone | 7573062850 |
| Practice Fax Number | 7573062801 |
| Mailing Telephone | 7578925400 |
| Mailing Fax Number | 7578925401 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-04-08 |
| 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 | 311Z00000X | Custodial Care Facility | ELO 2004-399 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sentara Adult Day Health Care Center | 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 |
| 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 |
3751 SENTARA WAY |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346231560 | Sentara Life Care Corporation | Assisted Living Facility | 3751 Sentara Way, Virginia Beach, VA 23452-4200 | 2005-11-04 |
| 1558979567 | The Villages of Rosemont, LLC | Assisted Living Facility | 3751 Sentara Way, Virginia Beach, VA 23452-4200 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968112 | Sentara Life Care Corporation | Custodial Care Facility | 665 Newtown Rd, Virginia Beach, VA 23462-1683 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154760916 | Home Health Aide | Custodial Care Facility | 625 Newport News Ave, Hampton, VA 23669-3930 | 2013-06-14 |
| 1861669293 | Grooming Responsible Outcomes for Women Now | Custodial Care Facility | 5554 Pony Farm Dr Apt A, Richmond, VA 23227-2623 | 2008-05-14 |
| 1538333927 | Frontier Family Services LLC | Custodial Care Facility | 2634 Hussey Ln, Richmond, VA 23223-1107 | 2008-04-16 |
| 1134105836 | Autumn Corporation | Custodial Care Facility | 1317 Lola Ave, Altavista, VA 24517-1352 | 2005-12-15 |
| 1013279686 | Care First Nursing Academy | Custodial Care Facility | 8811 Sudley Rd, Suite 110, Manassas, VA 20110-4750 | 2012-06-11 |
| 1114102191 | Wellmont Health System | Custodial Care Facility | 310 3rd St Ne, Norton, VA 24273-1137 | 2008-01-08 |
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.