Active NPI
Virginia Mennonite Home, Inc.
Doing business as VMRC, Complete Living Care
- Skilled Nursing Facility
- Harrisonburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2643
- Legal business name
- VIRGINIA MENNONITE HOME, INC.
- Doing business as
- VMRC, Complete Living Care
- Practice address
- 1475 Virginia Ave
Harrisonburg, VA 22802-2433 - Phone
- (540) 564-3400
- Fax
- (540) 564-3750
- NPI assigned
- Jun 23, 2006
- Last updated
- Feb 27, 2013
- 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
- Curtis Stutzman
- Title
- Cfo
- Phone
- (540) 564-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2643 | VA | Primary |
Addresses
Primary practice location
1475 Virginia Ave
Harrisonburg, VA 22802-2433
Mailing address
1501 Virginia Ave
Harrisonburg, VA 22802-2452
Phone (540) 564-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4966040 | Medicaid | VA |
Other names 1
- VMRC, Complete Living Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050830000207 | VA | Part A Provider - Skilled Nursing Facility | 0941231914 | Practice locations: Harrisonburg, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013943133. Details of each certification follow.
Skilled nursing facility certification: CCN 495385
- Legal name
- VIRGINIA MENNONITE HOME INC
- Doing business as
- VIRGINIA MENNONITE RETIREMENT COMMUNITY, COMPLETE LIVING CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 28, 2005
- Last certification
- Mar 15, 2023
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 1475 Virginia Ave
Harrisonburg, VA 22802-2433 - Nursing home name
- VMRC, COMPLETE LIVING CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- VMRC, Complete Living Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 28, 2005
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider Directory- Tax ID family
- Virginia Mennonite Home Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba VMRC Wellness Center
- Rehabilitation Clinic/Center
- Harrisonburg, VA
- NPI 1972855039
Locations
1401 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 437-4315
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Myron Blosser | Corporate Director | Apr 1, 2022 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Kelly RS Blosser | Corporate Director | Apr 1, 2021 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Adp of the SNF | Dec 27, 2024 | ||
| Debra a King | Corporate Director | Apr 1, 2021 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Hunter Hollar | Corporate Director | Apr 1, 2018 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Randy S Seitz | Corporate Director | Apr 1, 2020 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Jacqueline Hartman | Corporate Director | Apr 1, 2014 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Virginia Mennonite Retirement Community Inc | Operational/Managerial Control | Oct 1, 1988 | 100% |
| Adp of the SNF | Nov 15, 2024 | ||
| Michael J Piper | Corporate Officer | Nov 8, 2002 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Donald Bell | Corporate Officer | Apr 1, 2024 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Rebecca Thorpe | Corporate Officer | Mar 12, 2018 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Adp of the SNF | Dec 27, 2024 | ||
| Teresa Boshart-Yoder | Corporate Director | Apr 1, 2018 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Daryl Wayne Bert | Corporate Director | Apr 1, 2020 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| David J Smucker | Corporate Director | Apr 1, 2020 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 | ||
| Laura Yoder | Corporate Director | Apr 1, 2024 | |
| Operational/Managerial Control | Nov 15, 2024 | ||
| Managing Control - Governing Body | Apr 1, 2024 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba First Choice Hospice
- Community Based Hospice Care Agency
- Harrisonburg, VA
- NPI 1265839914
Virginia Mennonite Retirement Community Inc
-
- Home Health Agency
- Harrisonburg, VA
- NPI 1588730436
Virginia Mennonite Retirement Community Inc
Practitioners & affiliated clinicians
Affiliated clinicians 34
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Harrisonburg, VA
- NPI 1629812573
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1013943133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 VIRGINIA AVE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228022452",
"telephone_number": "540-564-3400",
"fax_number": "540-564-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 VIRGINIA AVE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228022433",
"telephone_number": "540-564-3400",
"fax_number": "540-564-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA MENNONITE HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "STUTZMAN",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "540-564-3400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "NH2643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4966040",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VMRC, Complete Living Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisonburg, VA
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 07947)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy #01552)
- Virginia Healthcare Services of Fredericksburg
- Virginia Mennonite Home, Inc (VMRC Wellness Center)
- Virginia Mennonite Home, Inc (Crestwood)
- Virginia Prosthetics, Inc. (Formotion Clinic)
- Jennifer M Visger, MD
- Vitality Physical Therapy and Wellness PLLC
- Sharaya Lynn Vivian, DPT
- Ursula Vogt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.