CENTRA POST ACUTE MENTAL HEALTH SERVICES LLC (NPI# 1255744900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255744900 |
| Entity Type | Organization |
| Organization Name | CENTRA POST ACUTE MENTAL HEALTH SERVICES LLC |
| Other Organization Name | FAIRMONT CROSSING REHABILITATION & HEALTH |
| Practice Address |
173 Brockman Park Dr Amherst VA 24521-2583 |
| Mailing Address |
Po Box 41000 Lynchburg VA 24506-4100 |
| Practice Telephone | 4342002161 |
| Practice Fax Number | 4342006638 |
| Mailing Telephone | 4342002161 |
| Mailing Fax Number | 4342006638 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | MR. LEWIS C ADDISON (SVP CFO) |
| Authorized Official Telephone | 4342004708 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | NH2519 | VA | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2519 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004967232 | 05 | |
| VA | ANTHEM | 000344 | 01 |
| Other Name | Type Code |
|---|---|
| Fairmont Crossing Rehabilitation & Health | Doing Business As Name - Organization |
| Street Address |
173 BROCKMAN PARK DR |
| City | AMHERST |
| State | VA |
| Zip Code | 24521-2583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851896 | Christen Joy Brunstetter | Speech-Language Pathologist | 173 Brockman Park Dr, Amherst, VA 24521-2583 | 2020-08-10 |
| 1184000127 | Susan Kaslo | Speech-Language Pathologist | 173 Brockman Park Dr, Amherst, VA 24521-2583 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020826 | Amherst County Public Schools | Case Management | 153 Washington Street, Amherst, VA 24521 | 2020-07-08 |
| 1154712420 | Leeann Gonzalez | Physical Therapist | 115 Ambriar Ct, Amherst, VA 24521 | 2015-02-09 |
| 1457642514 | Gena Smith | Occupational Therapy Assistant | 738 N Coolwell Rd, Amherst, VA 24521 | 2011-04-25 |
| 1891922399 | Deborah K. Bowman | Family Medicine | 124 Ambriar Ct, Amherst, VA 24521 | 2009-06-11 |
| 1083883300 | Rosa Mae Garner | Licensed Practical Nurse | 454 Mansion Way, Amherst, VA 24521 | 2008-02-21 |
| 1497849947 | Ryan Webb | Physical Therapist | 115 Ambriar Court, Amherst, VA 24521 | 2006-10-02 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1558478958 | Harman Eye Center of Amherst and Associates Plc | Optometrist | 204 Ambriar Plaza, Amherst, VA 24521 | 2006-08-23 |
| 1689624637 | Amherst County Board of Supervisors | Ambulance | 119 Taylor St, Amherst, VA 24521 | 2006-05-11 |
| 1881643815 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 224 2nd Street, Amherst, VA 24521 | 2006-05-08 |
| Find all providers in zip 24521 | ||||
| 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 |
|---|---|---|---|---|
| 1558411660 | Jan Dee Management Services, Inc | Nursing Facility/Intermediate Care Facility | 1400 Main St, Amherst, TX 79312 | 2007-01-11 |
| 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 | ||||
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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.