Active NPI
Fort Norfolk Retirement Community, Inc.
Doing business as Harbor's Edge
- Skilled Nursing Facility
- Norfolk, VA
National Provider Identifier
1073600813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2760
- Legal business name
- FORT NORFOLK RETIREMENT COMMUNITY, INC.
- Doing business as
- Harbor's Edge
- Practice address
- One Colley Ave
Norfolk, VA 23510 - Phone
- (757) 616-7900
- Fax
- (757) 616-7965
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 27, 2018
- 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
- Cathy Ann L'Heureux
- Title
- Cfo
- Phone
- (757) 616-7948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2760 | VA | Primary |
Addresses
Primary practice location
One Colley Ave
Norfolk, VA 23510
Mailing address
One Colley Ave
Norfolk, VA 23510
Phone (757) 616-7900
Other names 1
- Harbor's Edge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070924000672 | VA | Part A Provider - Skilled Nursing Facility | 3173617933 | Practice locations: Norfolk, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073600813. Details of each certification follow.
Skilled nursing facility certification: CCN 495395
- Legal name
- FORT NORFOLK RETIREMENT COMMUNITY, INC.
- Doing business as
- HARBOURS EDGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 14, 2008
- Last certification
- Aug 11, 2022
- Beds
- 33
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Other
- Incorporated
- Feb 28, 2002 in VA
- Enrollment address
- One Colley Avenue
Norfolk, VA 23510-1038 - Nursing home name
- HARBOR'S EDGE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harbor's Edge
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Mar 14, 2008
- Medicare certification status
- Active
- Certified beds
- 33
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Cathy a L'Heureux | Corporate Director | Mar 25, 2014 | |
| Linda Smith | Contracted Managing Employee | Feb 21, 2009 | |
| Dayanara Torres | W-2 Managing Employee | Aug 21, 2014 |
Practitioners & affiliated clinicians
Affiliated clinicians 11
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Grand Junction, CO
- NPI 1073001335
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535328000000",
"number": "1073600813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE COLLEY AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23510",
"telephone_number": "757-616-7900",
"fax_number": "757-616-7965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE COLLEY AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23510",
"telephone_number": "757-616-7900",
"fax_number": "757-616-7965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT NORFOLK RETIREMENT COMMUNITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2018-08-27",
"status": "A",
"authorized_official_last_name": "L'HEUREUX",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "757-616-7948"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "NH2760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor's Edge",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harbor's Edge",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Norfolk, VA
- Fort Norfolk Plaza Medical Associates, LLC (Fort Norfolk Plaza Urgent Care)
- Fort Norfolk Plaza Medical Associates, LLC (Fort Norfolk Plaza Cardiology Associates, Inc.)
- Fort Norfolk Plaza Medical Associates, LLC
- Fort Norfolk Plaza Urgent Care (Fort Norfolk Plaza Medical Associates, PLLC)
- Fort Norfolk Retirement Community (Harbor's Edge Wellness Clinic)
- Fort Worth Healthcare
- Bill Jeffrey Forte, M.D.
- Grayson Tyler Fortin, DO
- Jennifer Jane Foss, NP
- Andrea L Foster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.