Organization Active NPI

Lynchburg Care Center LLC

Doing business as Lynchburg Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Lynchburg, VA
National Provider Identifier
1033783295
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LYNCHBURG CARE CENTER LLC
Doing business as
Lynchburg Health & Rehabilitation Center
Practice address
5615 Seminole Ave
Lynchburg, VA 24502-2201
Phone
(434) 239-2657
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Andrew Shuler
Title
Administrator
Phone
(434) 239-2657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

5615 Seminole Ave
Lynchburg, VA 24502-2201

Mailing address

5615 Seminole Ave
Lynchburg, VA 24502-2201

Other names 1

  • Lynchburg Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110002721 VA Part A Provider - Skilled Nursing Facility 7719389691 Practice locations: Lynchburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033783295. Details of each certification follow.

Skilled nursing facility certification: CCN 495105

Legal name
LYNCHBURG CARE CENTER LLC
Doing business as
LYNCHBURG HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1977
Last certification
Sep 12, 2024
Beds
180
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medical Facilities of America
Most recent change of ownership
May 28, 2021
Organization structure
LLCProprietary
Incorporated
Mar 4, 2021 in NV
Enrollment address
5615 Seminole Ave
Lynchburg, VA 24502-2201
Nursing home name
LYNCHBURG HEALTH & REHABILITATION CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lynchburg Health & Rehabilitation CenterCCN 495105 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180163.1 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Nathan 5604 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 22.49%
Nathan 5604 & Family LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Sas 1998 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Matt 2002 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Charles 1994 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Golden 2017 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Golden 2017 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Saul 2012 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Central Bay LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 75%
Ak 2003 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 5%
Matt 2002 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Al 2003 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Nathan 5604 Family Grantor Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Rybst Central Manager LLC Organization, Miami, FL LLC Operational/Managerial Control May 28, 2021 100%
Kennedy Flynn Individual W-2 Managing Employee Sep 13, 2023 100%
Lynchburg Holdings I LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1033783295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 SEMINOLE AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 SEMINOLE AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022201",
            "telephone_number": "434-239-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCHBURG CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-239-2657"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynchburg Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.