Organization Active NPI

Our Lady of Peace Inc

  • Nursing Facility/Intermediate Care Facility
  • Charlottesville, VA
National Provider Identifier
1013081314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2649 Issued in VA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 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
49D0871816Our Lady of Peace751 Hillsdale Drive, Charlottesville, VA 22901Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.