CENTRA HEALTH INC (NPI# 1740384957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740384957 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH INC |
| Other Organization Name | BRIDGES AT BRIGHTWELL |
| Practice Address |
1410 Kentmoor Farm Rd Madison Heights VA 24572 |
| Mailing Address |
Po Box 2496 Lynchburg VI 24505 |
| Practice Telephone | 4349473777 |
| Practice Fax Number | 4349474763 |
| Mailing Telephone | 4349473777 |
| Mailing Fax Number | 4349474763 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | LEWIS C ADDISON (SRVP/CFO) |
| Authorized Official Telephone | 4349474708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 05214002 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bridges at Brightwell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790882181 | Centra Health Inc | Physical Therapist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-20 |
| 1013011220 | Centra Health Inc | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502 | 2006-09-08 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1114021326 | Centra Health Inc | Rehabilitation, Substance Use Disorder Unit | 3300 Rivermont Avenue, Lynchburg, VA 24505 | 2006-09-08 |
| 1205357506 | Centra Health Inc | Internal Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2017-06-28 |
| 1578738225 | Centra Health Inc | Durable Medical Equipment & Medical Supplies | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2008-04-24 |
| 1366635328 | Centra Health Inc | Ambulance | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1669591178 | Centra Health Inc | Skilled Nursing Facility | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-03-28 |
| 1659414787 | Centra Health Inc | Clinic/Center | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2007-02-15 |
| 1376619254 | Centra Health Inc | Radiology | 1900 Tate Springs Rd, Lynchburg, VA 24501-1122 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Centra Health Inc. | 1920 Atherholt Rd, Lynchburg, Virginia 24501 |
| Street Address |
1410 KENTMOOR FARM RD |
| City | MADISON HEIGHTS |
| State | VA |
| Zip Code | 24572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544453 | Select Rehab | Assisted Living Facility | 268 Hilltop Dr, Madison Heights, VA 24572 | 2016-09-01 |
| 1740421031 | Deborah Lynch Fletcher | Nurse's Aide | 5068 South Amherst Hwy, Madison Heights, VA 24572 | 2009-03-16 |
| 1710143854 | Commonwealth Chiropractic Center, Inc. | Chiropractor | 3756 South Amherst Highway, Suite 100, Madison Heights, VA 24572 | 2008-07-29 |
| 1174689020 | Sunrise Adult Day Care Center | Durable Medical Equipment & Medical Supplies | 4830 South Amherst Hwy, Madison Heights, VA 24572 | 2006-12-28 |
| 1942385786 | Madison Heights Eye Care PC Optometrists | Optometrist | 5076 South Amherst Hwy, Madison Heights, VA 24572 | 2006-10-26 |
| 1710078183 | Patricia L Evans | Pharmacist | 521 Colony Rd Rt 210 East, Madison Heights, VA 24572 | 2006-09-28 |
| 1952407330 | Fredrick P Reynolds | Optometrist | 5076 S. Amherst Highway, Madison Heights, VA 24572 | 2006-09-15 |
| 1891725370 | Amy N French | Social Worker | 3742 S Amherst Hwy, Madison Heights, VA 24572 | 2006-07-03 |
| 1730610841 | Janna Laverdiere | Dentist | 239 Trojan Rd, Madison Heights, VA 24572 | 2017-03-21 |
| 1922551621 | Central Virginia Family Physicians | Family Medicine | 118 Oakwood Dr, #a, Madison Heights, VA 24572 | 2016-07-28 |
| Find all providers in zip 24572 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 24572 |
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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.