Active NPI
Virginia Beach SNF LLC
- Skilled Nursing Facility
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VIRGINIA BEACH SNF LLC
- Practice address
- 1801 Camelot Dr
Virginia Beach, VA 23454-2401 - Phone
- (757) 481-3500
- NPI assigned
- 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
- Patrick Shuler
- Title
- Administrator
- Phone
- (757) 481-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1801 Camelot Dr
Virginia Beach, VA 23454-2401
Mailing address
1801 Camelot Dr
Virginia Beach, VA 23454-2401
Other names 1
- Virginia Beach Healthcare & 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 |
|---|---|---|---|---|
| O20220119001294 | VA | Part A Provider - Skilled Nursing Facility | 6901201375 | Practice locations: Virginia Beach, VA |
Skilled nursing facility certification: CCN 495237
- Legal name
- VIRGINIA BEACH SNF LLC
- Doing business as
- VIRGINIA BEACH HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 5, 1991
- Last certification
- Oct 11, 2024
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medical Facilities of American
- Most recent change of ownership
- May 28, 2021
- Organization structure
- LLC
- Incorporated
- Mar 4, 2021 in VA
- Enrollment address
- 1801 Camelot Dr
Virginia Beach, VA 23454-2401 - Nursing home name
- VIRGINIA BEACH HEALTHCARE AND REHAB CENTER
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Virginia Beach Healthcare and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 5, 1991
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Lifeworks Rehab
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Fay 2014 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Virginia Beach Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| Ek 2005 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 5% |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Stevens 3920 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Fay 2014 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Stevens 3920 & Family LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Chesapeake East LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 100% |
| Rylbss East Manager LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 100% |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Stevens 3920 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.49% |
| MZR East LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 25% |
| Silverstone East LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 75% |
| Sol 2000 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Sol 2000 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Adam Sherring | Corporate Officer | Jan 24, 2024 | |
| W-2 Managing Employee | Jan 24, 2024 | ||
| LL 2013 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| MMS 2008 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1003490277
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Appomattox, VA
- NPI 1639753809
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1528642790
Charles 1994 Family Grantor Trust, Chesapeake East LLC, Edward 1998 Family Grantor Trust, Ek 2005 Family Trust, Fay 2014 Family Grantor Trust, Fay 2014 LLC, LL 2013 Family Trust, MMS 2008 Family Trust, MZR East LLC, Rylbss East Manager LLC, Silv
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1508440785
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Vinton, VA
- NPI 1861076044
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Bowling Green, VA
- NPI 1619551801
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Ek 2005 Family Trust, Fay 2014 Family Grantor Trust, Fay 2014 LLC, LL 2013 Family Trust, MMS 2008 Family Trust, MZR East LLC, Rylbss East Manager LLC, Saul 2012 Family Grantor T
-
- Skilled Nursing Facility
- Burke, VA
- NPI 1861076051
Charles 1994 Family Grantor Trust, Chesapeake East LLC, Edward 1998 Family Grantor Trust, Ek 2005 Family Trust, Fay 2014 Family Grantor Trust, Fay 2014 LLC, LL 2013 Family Trust, MMS 2008 Family Trust, MZR East LLC, Rylbss East Manager LLC, Saul
-
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1487238671
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1649854837
Charles 1994 Family Grantor Trust, Chesapeake East LLC, Edward 1998 Family Grantor Trust, Ek 2005 Family Trust, Fay 2014 Family Grantor Trust, Fay 2014 LLC, LL 2013 Family Trust, MMS 2008 Family Trust, MZR East LLC, Rylbss East Manager LLC, Saul
-
- Skilled Nursing Facility
- Culpeper, VA
- NPI 1265016455
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Fairfax, VA
- NPI 1033718382
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
- Skilled Nursing Facility
- Rocky Mount, VA
- NPI 1154905354
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1700809894
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Virginia Beach, VA
- NPI 1932172756
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": "1265006456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 CAMELOT DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 CAMELOT DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542401",
"telephone_number": "757-481-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA BEACH SNF 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": "PATRICK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-481-3500"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Virginia Beach Healthcare & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
- Virginia Beach Neurology, LTD
- Virginia Beach Physical Therapy & Wellness , PLLC
- Virginia Beach Premier Medical , P.C.
- Virginia Beach Radiology PC
- Virginia Beach Smile Mission PLLC
- Virginia Beach Surgery Center
- Virginia Beach Surgery, LTD
- Virginia Beach Urological Associates LTD
- Virginia Beach VA Opco LLC
- Virginia Behavioral Medicine PLLC
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.