NPIMap

Organization Active NPI

Virginia Health Services, Inc

  • Skilled Nursing Facility
  • Kilmarnock, VA
National Provider Identifier
1073500880
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2605 Issued in VA
Legal business name
VIRGINIA HEALTH SERVICES, INC
Practice address
287 School St
Kilmarnock, VA 22482-3830
Phone
(804) 435-1684
Fax
(804) 435-1149
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Mrs. Nicole L Boldy, CPA
Title
Cfo
Phone
(757) 599-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2605 VA Primary

Addresses

Primary practice location

287 School St
Kilmarnock, VA 22482-3830

Mailing address

240 Nat Turner Blvd S
Newport News, VA 23606-0020
Phone (757) 596-6268

Other identifiers 2

IdentifierTypeStateIssuer
004953452MedicaidVA
245113OtherVAANTHEM

Other names 1

  • Lancashire Convalescent and 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
O20111230000364 VA Part A Provider - Skilled Nursing Facility 3072422708 Practice locations: Kilmarnock, VA

Skilled nursing facility certification: CCN 495345

Legal name
VIRGINIA HEALTH SERVICES, INC
Doing business as
LANCASHIRE NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2000
Last certification
Feb 3, 2022
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 11, 2025
Organization structure
CorporationProprietary
Incorporated
Mar 21, 1980 in VA
Enrollment address
287 School Street
Kilmarnock, VA 22482-3830

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lancashire Post AcuteCCN 495345
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120103.3 residents per day on average
Penalties (3 years)
1Fines totaling $40,290

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Robert E Walters Individual W-2 Managing EmployeeVP of Clinical Operations Oct 14, 2013
Mark F Klyczek Individual Corporate OfficerPresident/Ceo Apr 1, 2020
Corporate DirectorPresident/Ceo Apr 1, 2020
W-2 Managing EmployeePresident/Ceo Apr 1, 2020
Fulton Bank, N.a. Organization, Lancaster, PA Financial institution 5% Or Greater Mortgage Interest Mar 1, 2013 45%
Michael Harrison Individual W-2 Managing EmployeeAdministrator Sep 19, 2022
Harry Henderson Wason Individual Corporate OfficerSecretary Jan 1, 2012
Corporate Director Jan 1, 2003 0.44%
Donald Lundin Individual W-2 Managing EmployeeVice President of Operations Mar 1, 2021
Stephen Morrisette Individual Corporate DirectorBoard Member Jan 1, 2015
George S Mitchell Jr Rvoc TR Organization, Newport News, VA 5% Or Greater Direct Ownership Interest Nov 20, 2020 6.52%
Harry Henderson Wason Individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 9.28%
Raymond Suttle Individual Corporate OfficerVice Chairman Jan 1, 2012
Corporate Director Jan 1, 2003 0.18%
Nicole Boldy Individual Corporate OfficerChief Financial Officer Jul 1, 2020
W-2 Managing EmployeeChief Financial Officer Jan 1, 2009
Robert Freeman Individual Corporate OfficerChairman Jan 1, 2012
Corporate Director Jan 1, 2003 1.38%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1073500880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236060020",
            "telephone_number": "757-596-6268",
            "fax_number": "757-595-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 SCHOOL ST",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823830",
            "telephone_number": "804-435-1684",
            "fax_number": "804-435-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "BOLDY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-599-7422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004953452",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "245113",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancashire Convalescent and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lancashire Convalescent and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.