OUR LADY OF PEACE INC (NPI# 1013081314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013081314 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF PEACE INC |
| Practice Address |
751 Hillsdale Dr Charlottesville VA 22901-3300 |
| Practice Telephone | 4349731155 |
| Practice Fax Number | 4349733397 |
| Mailing Telephone | 4349731155 |
| Mailing Fax Number | 4349733397 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SARA ANN WARDEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4349731155 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2649 | VA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | OUR LADY OF PEACE INC. | 3333 Peters Creek Rd Nw, Roanoke, Virginia 24019-2719 |
| Street Address |
751 HILLSDALE DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423382 | Julia Bruneau | Physical Therapist | 751 Hillsdale Dr, Charlottesville, VA 22901-3300 | 2006-03-31 |
| 1780186775 | Dina Lynn Rephann | Physical Therapy Assistant | 751 Hillsdale Dr, Charlottesville, VA 22901-3300 | 2018-03-06 |
| 1861894545 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 751 Hillsdale Dr, C/o Our Lady of Peace, Charlottesville, VA 22901-3300 | 2014-09-24 |
| 1215369939 | Robin Warner | Occupational Therapist | 751 Hillsdale Dr, Charlottesville, VA 22901-3300 | 2013-08-05 |
| 1174852800 | Robyn S Weatherford | Community Health Worker | 751 Hillsdale Dr, Charlottesville, VA 22901-3300 | 2009-12-08 |
| 1710101712 | Carol S. Jarrell | Physical Therapist | 751 Hillsdale Dr, Charlottesville, VA 22901-3300 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578519500 | The Laurels of Charlottesville, LLC | Nursing Facility/Intermediate Care Facility | 1165 Pepsi Pl, Charlottesville, VA 22901-2866 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594854 | Leibovici Health Care LLC | Nursing Facility/Intermediate Care Facility | 421 Van Wyck Mews, Norfolk, VA 23517-2129 | 2015-12-24 |
| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1962843805 | Caring Hands Facilitators | Nursing Facility/Intermediate Care Facility | 1600 Selma Pl, Richmond, VA 23223-1281 | 2013-07-08 |
| 1699111864 | Able Support Facilitators | Nursing Facility/Intermediate Care Facility | 5 Stratford Dr, 113, Fishersville, VA 22939-2145 | 2013-05-15 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1447491394 | Lakewood Manor Baptist Retirement Community | Nursing Facility/Intermediate Care Facility | 1900 Lauderdale Dr, Richmond, VA 23238-3902 | 2009-03-23 |
| 1376784488 | The Glebe, Inc. | Nursing Facility/Intermediate Care Facility | 200 The Glebe Blvd, Daleville, VA 24083-3722 | 2009-03-19 |
| 1518160191 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 19508 Mccray Dr, Abingdon, VA 24211-6838 | 2007-06-09 |
| 1457561003 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 23610 North St, Onancock, VA 23417-2024 | 2007-05-23 |
| 1154535334 | Powhatan Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.