Hanover Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HANOVER CARE CENTER LLC

Doing business as

Hanover Health & Rehabilitation Center

Practice address

8139 Lee Davis Rd
Mechanicsville, VA 23111-7001

Phone

(804) 559-5030

NPI assigned

May 13, 2021

Last updated

May 13, 2021By 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

Emmanuel Motley

Title

Administrator

Phone

(804) 559-5030

Specialties & licenses 1

Addresses

Other names 1

• Hanover Health & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144894387. Details of each certification follow.

• CCN 495266 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495266

Legal name

HANOVER CARE CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 13, 1992

Last certification

Apr 28, 2022

Beds

120

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Mar 4, 2021 in NV

Enrollment address

8139 Lee Davis Rd
Mechanicsville, VA 23111-7001

Nursing home name

HANOVER HEALTH AND REHABILITATION CENTER

Affiliated entity

LIFEWORKS REHAB

Listed as

Hanover Health and Rehabilitation CenterCCN 495266 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jul 13, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120116.1 residents per day on average

Chain

Lifeworks Rehab64 facilities in the chain

Penalties (3 years)

1Fines totaling $14,901

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 19

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

Facilities with the same owner 37

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

• Albemarle Care Center LLC

  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, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·

  CMS ownership
• Appomattox Care Center LLC

  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, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·

  CMS ownership
• Bayside SNF LLC

  dba Bayside Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Virginia Beach, VA
  • NPI 1528642790

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust

  CMS ownership
• Beaufont Care Center LLC

  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, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·

  CMS ownership
• Berkshire Operations LLC

  dba Berkshire Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Vinton, VA
  • NPI 1861076044

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Bowling Green SNF LLC

  dba Bowling Green Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Bowling Green, VA
  • NPI 1619551801

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Burke SNF LLC

  dba Burke Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Burke, VA
  • NPI 1861076051

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Charlottesville Care Center LLC

  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, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·

  CMS ownership
• Chesapeake SNF LLC

  dba Chesapeake Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Chesapeake, VA
  • NPI 1649854837

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Culpeper Care Center LLC

  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, Edward 1998 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC, Nathan 5604 & Family LLC, Nathan 5604 LLC, Pivotal Central LLC, Rybst Central Mana

  CMS ownership
• Fairfax Operator LLC

  dba Fairfax Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Fairfax, VA
  • NPI 1033718382

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Franklin Facility LLC

  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, Edward 1998 Family Grantor Trust, Sas 1998 Family Trust, Saul 2012 Family Grantor Trust

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Khalid Karim, MD

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1346258464

  Nursing home

  Care Compare affiliation
• Lovelina N. Patel, MD

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1902252182

  Nursing home

  Care Compare affiliation

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": "1144894387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8139 LEE DAVIS RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8139 LEE DAVIS RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117001",
            "telephone_number": "804-559-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER 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": "MOTLEY",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-559-5030"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanover Adult Center, Inc
• Hanover Anesthesia Group,Inc
• Hanover Anesthesia, LLC
• Hanover Audiology PLLC
• Hanover Cardiac ASC LLC (Virginia Cardiac Surgery Center)
• Hanover Counseling Associates, PLLC
• Hanover Counseling Associates, PLLC
• Hanover Dermatology PC
• Hanover Family Eyecare
• Hanover Family Physicians P.C.

• Skilled Nursing Facility in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Skilled Nursing Facility in Virginia

• 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.

Verify at the official NPI Registry.