Active NPI
Lynchburg Care Center LLC
Doing business as Lynchburg Health & Rehabilitation Center
- Skilled Nursing Facility
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2021
- 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
- Andrew Shuler
- Title
- Administrator
- Phone
- (434) 239-2657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1977
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Lifeworks Rehab
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nathan 5604 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.49% |
| Nathan 5604 & Family LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Sas 1998 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Matt 2002 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Golden 2017 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Golden 2017 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Central Bay LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 75% |
| Ak 2003 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 5% |
| Matt 2002 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Al 2003 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Nathan 5604 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Rybst Central Manager LLC | Operational/Managerial Control | May 28, 2021 | 100% |
| Kennedy Flynn | W-2 Managing Employee | Sep 13, 2023 | 100% |
| Lynchburg Holdings I 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.
-
dba Albermarle Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1003490277
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, Nathan 5604 & Family LLC, Nathan 5604 Family Grantor
-
dba Appomattox Health & Rehabilitation Center
- Skilled Nursing Facility
- Appomattox, VA
- NPI 1639753809
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, Nathan 5604 & Family LLC, Nathan 5604 Family Grantor
-
dba Bayside Health & Rehabilitation Center
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1528642790
Charles 1994 Family Grantor Trust
-
dba Beaufont Health & Rehabilitation Center
- Skilled Nursing Facility
- Richmond, VA
- NPI 1508440785
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, Nathan 5604 & Family LLC, Nathan 5604 Family Grantor
-
dba Berkshire Health & Rehabilitation Center
- Skilled Nursing Facility
- Vinton, VA
- NPI 1861076044
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Bowling Green Health & Rehabilitation Center
- Skilled Nursing Facility
- Bowling Green, VA
- NPI 1619551801
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Burke Health & Rehabilitation Center
- Skilled Nursing Facility
- Burke, VA
- NPI 1861076051
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Charlottesville Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1487238671
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, Nathan 5604 & Family LLC, Nathan 5604 Family Grantor
-
dba Chesapeake Health & Rehabilitation Center
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1649854837
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Culpeper Health & Rehabilitation Center
- Skilled Nursing Facility
- Culpeper, VA
- NPI 1265016455
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Matt 2002 LLC, Nathan 5604 & Family LLC, Nathan 5604 LLC, Rybst Central Manager LLC, Sas 1998 Family Trust, Saul 2012 Family Grantor Trust
-
dba Fairfax Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Fairfax, VA
- NPI 1033718382
Charles 1994 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Franklin Health & Rehabilitation Center
- Skilled Nursing Facility
- Rocky Mount, VA
- NPI 1154905354
Ak 2003 Family Trust, Al 2003 Family Trust, Charles 1994 Family Grantor Trust, Sas 1998 Family Trust, Saul 2012 Family Grantor Trust
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1093080418
Nursing home
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
- Nathan Khang Luu
- Luxottica Retail North America Inc (Sears Optical #C0009)
- Kaitlyn Lyford
- Lynchburg Anesthesia Associates Inc
- Lynchburg Area Center for Independent Living
- Lynchburg City Schools
- Lynchburg Dept Social SVS
- Lynchburg Endodontics P.C.
- Lynchburg Family Dentistry PC
- Lynchburg Family Medicine Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.