Active NPI
Our Lady of Peace Inc
- Nursing Facility/Intermediate Care Facility
- Charlottesville, VA
National Provider Identifier
1013081314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NH2649
- Legal business name
- OUR LADY OF PEACE INC
- Practice address
- 751 Hillsdale Dr
Charlottesville, VA 22901-3300 - Phone
- (434) 973-1155
- Fax
- (434) 973-3397
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sara Ann Warden, LNHA
- Title
- Executive Director
- Phone
- (434) 973-1155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH2649 | VA | Primary |
Addresses
Primary practice location
751 Hillsdale Dr
Charlottesville, VA 22901-3300
Mailing address
751 Hillsdale Dr
Charlottesville, VA 22901-3300
Phone (434) 973-1155
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0871816 | Our Lady of Peace | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013081314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 HILLSDALE DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229013300",
"telephone_number": "434-973-1155",
"fax_number": "434-973-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 HILLSDALE DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229013300",
"telephone_number": "434-973-1155",
"fax_number": "434-973-3397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF PEACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WARDEN",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "434-973-1155",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "VA",
"license": "NH2649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.