NPIMap

Organization Active NPI

Patrick Henry Hospital Inc

Doing business as The Gardens at Warwick Forest

  • Nursing Facility/Intermediate Care Facility
  • Newport News, VA
National Provider Identifier
1013022268
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2672 Issued in VA
Legal business name
PATRICK HENRY HOSPITAL INC
Doing business as
The Gardens at Warwick Forest
Practice address
1000 Old Denbigh Blvd
Newport News, VA 23602-2017
Phone
(757) 875-2000
Fax
(757) 875-2036
NPI assigned
Aug 20, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Walter W Austin
Title
Cfo
Phone
(757) 875-7846

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH2672 VA Primary
Skilled Nursing Facility 314000000X NH2672 VA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NH2672 VA

Addresses

Primary practice location

1000 Old Denbigh Blvd
Newport News, VA 23602-2017

Mailing address

608 Denbigh Blvd
Suite 600
Newport News, VA 23608-4410
Phone (757) 875-2023

Other identifiers 1

IdentifierTypeStateIssuer
004958535MedicaidVA

Other names 1

  • The Gardens at Warwick Forest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080905000163 VA Part A Provider - Skilled Nursing Facility 0648169425 Practice locations: Newport News, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013022268. Details of each certification follow.

Skilled nursing facility certification: CCN 495071

Legal name
PATRICK HENRY HOSPITAL, INC.
Doing business as
RIVERSIDE LIFELONG HEALTH & REHABILITATION WARWICK FOREST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 26, 1969
Last certification
Dec 8, 2023
Beds
209
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Riverside Health System
Organization structure
CorporationNon-profit
Incorporated
Jul 16, 1948 in VA
Enrollment address
1000 Old Denbigh Blvd
Newport News, VA 23602-2017
Nursing home name
RIVERSIDE LIFELONG H & R WARWICK FOREST
Affiliated entity
RIVERSIDE HEALTH SYSTEM

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverside Lifelong H & R Warwick ForestCCN 495071 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 26, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
209198.2 residents per day on average
Chain
Riverside Health System6 facilities in the chain
Penalties (3 years)
1Fines totaling $10,358

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0661227Lifelong Health and Rehabilitation Warwick1000 Old Denbeigh Boulevard, Newport News, VA 23602Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Patrick Henry Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 Denbigh Blvd
Newport News, VA 23608

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Walter W Austin Individual Corporate OfficerSr VP/Cfo, Treasurer Jul 2, 2012
Jason Houser Individual Corporate DirectorVP Legal Affairs/Secretary Jan 1, 2019
Michael J Dacey Individual Corporate OfficerPresident/Coo, RHS Jan 1, 2019
Riverside Healthcare Association, Inc. Organization, Newport News, VA 5% Or Greater Direct Ownership Interest May 3, 2010
Joyce J Alewynse Individual Corporate DirectorBoard Member Mar 1, 2022
Kirby Smith Individual Corporate DirectorBoard Member Jun 1, 2008
Joseph F Verser Individual Corporate DirectorBoard Member Mar 1, 2022
Brooke Tiller Individual Corporate DirectorBoard Member Mar 1, 2022
Jeanne Zeidler Individual Corporate DirectorBoard Member Jan 1, 2019
Barbara Smith Haywood Individual Corporate DirectorVice Chairman Jan 1, 2019
Linwood Shawn Nelson Individual W-2 Managing EmployeeCfo Lifelong Healht/Avp Finance Oct 1, 2019
William B Downey Individual Corporate OfficerCeo, RHS Jun 1, 2008
Jared L Bates Individual Corporate DirectorBoard Member Mar 1, 2022
Edward Heckler Individual Corporate OfficerPresident, Lifelong Health Jan 1, 2019
Conway Smith Individual Corporate DirectorChairman Jun 1, 2008

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverside Home HealthWarsaw, VA, CCN 497025B Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2020
Riverside HospiceWarsaw, VA, CCN 491554 Hospice 5% Or Greater Direct Ownership Interest Dec 31, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1013022268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD",
            "address_2": "SUITE 600",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084410",
            "telephone_number": "757-875-2023",
            "fax_number": "757-875-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OLD DENBIGH BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236022017",
            "telephone_number": "757-875-2000",
            "fax_number": "757-875-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK HENRY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-875-7846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2672",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2672",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "VA",
            "license": "NH2672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004958535",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens at Warwick Forest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Gardens at Warwick Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.