SP LAFAYETTE VILLA LLC (NPI# 1689616096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689616096 |
| Entity Type | Organization |
| Organization Name | SP LAFAYETTE VILLA LLC |
| Other Organization Name | TANDEM HEALTH CARE OF NORFOLK |
| Practice Address |
3900 Llewellyn Ave Norfolk VA 23504-1203 |
| Mailing Address |
800 Concourse Pkwy S Suite 200 Maitland FL 32751-6148 |
| Practice Telephone | 7576255363 |
| Practice Fax Number | 7576273161 |
| Mailing Telephone | 4075711550 |
| Mailing Fax Number | 4075711599 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH CONTE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2603 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4952731 | 05 |
| Other Name | Type Code |
|---|---|
| Tandem Health Care of Norfolk | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SP Lafayette Villa LLC | 3820 Mansell Road Suite 280, Alpharetta, Georgia 30022 |
| Street Address |
3900 LLEWELLYN AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114575750 | Erica Jane Porter | Social Worker | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2019-08-27 |
| 1598325888 | John Wu | Occupational Therapist | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2019-06-18 |
| 1235796350 | Stephanie Michelle Barnes | Occupational Therapist | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2019-05-23 |
| 1215439252 | Paige Tierney Hebard | Occupational Therapist | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2018-03-06 |
| 1053858944 | Hari Gnanasekeram, PC | Internal Medicine | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2017-01-30 |
| 1164969721 | Hari Gnansekeram, PC | Internal Medicine | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2017-01-20 |
| 1023472198 | Amy Bischof | Speech-Language Pathologist | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2016-04-05 |
| 1679934889 | Maryna Halynskaya | Physical Therapy Assistant | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2016-03-15 |
| 1982093001 | Jaclyn Yenter Slaughter | Speech-Language Pathologist | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2015-01-13 |
| 1568701068 | Tracie Norman | Occupational Therapy Assistant | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2013-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| Find all providers in zip 23504 | ||||
| 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 |
|---|---|---|---|---|
| 1073600813 | Fort Norfolk Retirement Community, Inc. | Skilled Nursing Facility | One Colley Ave, Norfolk, VA 23510 | 2006-10-05 |
| 1801993001 | State of Nebraska Dept of Admin Services | Skilled Nursing Facility | 600 E Benjamin Ave, Norfolk, NE 68701-0830 | 2006-09-20 |
| 1174631014 | Heritage of Norfolk Inc | Skilled Nursing Facility | 1203 N 13th St, Norfolk, NE 68701-2609 | 2006-08-29 |
| 1164535373 | Medical Facilities of America Xli | Skilled Nursing Facility | 901 E Princess Anne Rd, Norfolk, VA 23504-2732 | 2006-08-15 |
| 1871544072 | Ggnsc Norfolk Valley View LLC | Skilled Nursing Facility | 1900 Vicki Ln, Norfolk, NE 68701-4558 | 2006-05-12 |
| 1376529925 | Autumn Corporation | Skilled Nursing Facility | 1401 Halstead Ave, Norfolk, VA 23502-2003 | 2005-12-15 |
| 1093706806 | Sentara Life Care Corporation | Skilled Nursing Facility | 249 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-01 |
| 1558824227 | Waterside Health & Rehab Center, LLC | Skilled Nursing Facility | 249 S Newtown Rd, Norfolk, VA 23502-5718 | 2019-04-10 |
| 1336651793 | Thornton Hall Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 827 Norview Ave, Norfolk, VA 23509-1540 | 2017-10-25 |
| 1124558754 | Vsl Norfolk LLC | Skilled Nursing Facility | 1203 N 13th St, Norfolk, NE 68701-2609 | 2017-06-15 |
| Find all providers in NORFOLK | ||||
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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.