SENTARA HOSPITALS (NPI# 1689916884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689916884 |
| Entity Type | Organization |
| Organization Name | SENTARA HOSPITALS |
| Other Organization Name | SENTARA OBICI HOSPITAL |
| Practice Address |
2800 Godwin Blvd Suffolk VA 23434-8038 |
| Mailing Address |
6015 Poplar Hall Dr Suite 200 Norfolk VA 23502-3819 |
| Practice Telephone | 7579344000 |
| Mailing Telephone | 7574557102 |
| Mailing Fax Number | 7574557919 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | MR. ROBERT A. BROERMANN (CFO, SH) |
| Authorized Official Telephone | 7574557020 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENTARA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | H1869 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sentara Obici Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540138 | Sentara Hospitals | General Acute Care Hospital | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2005-07-07 |
| 1891287504 | Sentara Hospitals | Early Intervention Provider Agency | 818 Newtown Rd, Virginia Beach, VA 23462-1116 | 2018-05-30 |
| 1396275418 | Sentara Hospitals | Pharmacy | 600 Gresham Drive, Retail Pharmacy, Norfolk, VA 23507 | 2017-06-13 |
| 1821403791 | Sentara Hospitals | Pharmacy | 830 Kempsville Rd, Norfolk, VA 23502-3920 | 2014-06-30 |
| 1225370448 | Sentara Hospitals | Psychiatric Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2013-03-26 |
| 1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
| 1467699199 | Sentara Hospitals | Rehabilitation Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2009-01-16 |
| 1467589234 | Sentara Hospitals | Pharmacy | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2007-02-27 |
| 1053475004 | Sentara Hospitals | Psychiatric Unit | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2006-12-21 |
| 1235205147 | Sentara Hospitals | Ambulance | 600 Gresham Dr, Norfolk, VA 23507 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Sentara Hospitals | 6015 Poplar Hall Drive, Norfork, Virginia 23502 |
| North Carolina Corporations | Sentara Hospitals-Norfolk | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | SENTARA HOSPITALS-NORFOLK | 6015 Poplar Hall Dr Suite 300, Norfolk, Virginia 23502 |
| Street Address |
2800 GODWIN BLVD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540138 | Sentara Hospitals | General Acute Care Hospital | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2005-07-07 |
| 1760008825 | Holly Kristin Whiting | Registered Nurse | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2020-06-24 |
| 1649894080 | Sheryl Sharrell Arrington | Nurse Practitioner | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2020-06-02 |
| 1093336471 | Stuart Ray Doughtie Sr. | Pharmacist | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2020-04-27 |
| 1326515925 | Melissa M Bush | Hospitalist | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2018-11-01 |
| 1568982155 | Amjad Minhas | Internal Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2017-06-23 |
| 1104273895 | Megan Skillen Aleksa | Dietitian, Registered | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2016-05-23 |
| 1720447501 | Sentara Medical Group | Preventive Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2016-02-22 |
| 1700273794 | Muhammad Shahid | Internal Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2015-04-17 |
| 1942609003 | Natalie Danielle Tacke | Nurse Practitioner | 2800 Godwin Blvd, 1st Fl, Suffolk, VA 23434-8038 | 2014-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| 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 |
|---|---|---|---|---|
| 1447333141 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2006-10-24 |
| 1154307890 | Autumn Corporation | Skilled Nursing Facility | 2580 Pruden Blvd, Suffolk, VA 23434-4229 | 2005-12-15 |
| 1073500310 | Lake Prince Center, Inc. | Skilled Nursing Facility | 100 Anna Goode Way, Suffolk, VA 23434-9236 | 2005-10-03 |
| 1811412570 | Eagle Acquisition Xii LLC | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2017-08-03 |
| 1285891028 | Debbie Barton | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-05-20 |
| 1053578807 | Angela C Flynn | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-05-20 |
| 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 |
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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.