Sentara Life Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0445 Issued in NC

Legal business name

SENTARA LIFE CARE CORPORATION

Doing business as

Sentara Nursing Center Currituck

Practice address

3907 Caratoke Hwy
Barco, NC 27917-9500

Phone

(252) 457-0500

Fax

(252) 457-0501

NPI assigned

Nov 2, 2005

Last updated

May 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Robertson

Title

Vice President Sentara Life Care

Phone

(757) 892-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sentara Nursing Center Currituck Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sentara Life Care Corporation

  • Long Term Care Pharmacy
  • Virginia Beach, VA
  • NPI 1487644795

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1104817964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "757-892-5400",
            "fax_number": "757-892-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CARATOKE HWY",
            "city": "BARCO",
            "state": "NC",
            "postal_code": "279179500",
            "telephone_number": "252-457-0500",
            "fax_number": "252-457-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA LIFE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT SENTARA LIFE CARE",
        "authorized_official_telephone_number": "757-892-5400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-6443",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-5289",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Nursing Center Currituck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountaineer Home Medical, LLC (Round Table Health Care LLC)
• New Life Christian Fellowship of Currituck
• Kristin Marie Palen, OTR/L
• Parker Counseling Services PLLC (Perfect Peace Counseling)
• Jasmine Lanae Parker, LCSW
• Christine Elvira Sumner, MS CCC/SLP
• Gladys K Tuttle
• Uplift Comprehensive Services
• Najella Williams
• Valerie Marcella Winford, SLP

• Skilled Nursing Facility in Barco, NC
• Providers in Barco, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.