SENTARA LIFE CARE CORPORATION (NPI# 1619968112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619968112 |
| Entity Type | Organization |
| Organization Name | SENTARA LIFE CARE CORPORATION |
| Other Organization Name | SENTARA SENIOR COMMUNITY CARE (PACE) |
| Practice Address |
665 Newtown Rd Virginia Beach VA 23462-1683 |
| Mailing Address |
251 S Newtown Rd Norfolk VA 23502-5718 |
| Practice Telephone | 7575027800 |
| Practice Fax Number | 7575027801 |
| Mailing Telephone | 7578925400 |
| Mailing Fax Number | 7578925401 |
| Enumeration Date | 2005-11-03 |
| 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 2004-249 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sentara Senior Community Care (PACE) | 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 |
| 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 |
| 1548251358 | Sentara Life Care Corporation | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 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 |
665 NEWTOWN RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700840741 | Lynette Marla Santiago | Podiatrist | 665 Newtown Rd, Virginia Beach, VA 23462-1683 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1326039546 | Sentara Life Care Corporation | Custodial Care Facility | 3751 Sentara Way, Virginia Beach, VA 23452-4200 | 2005-11-04 |
| 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 | 23462 |
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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.