Albemarle Lifecare Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2572 Issued in VA

Legal business name

ALBEMARLE LIFECARE CORP

Practice address

505 Rio Rd W
Charlottesville, VA 22901-1411

Phone

(434) 978-7015

Fax

(434) 974-7882

NPI assigned

Oct 27, 2005

Organization subpart

No

Name

Mr. Ted A Leneave

Title

President/Coo

Phone

(540) 774-4263

• Heritage Hall Charlottesville Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306836655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 RIO RD W",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011411",
            "telephone_number": "434-978-7015",
            "fax_number": "434-974-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 RIO RD W",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011411",
            "telephone_number": "434-978-7015",
            "fax_number": "434-974-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE LIFECARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENEAVE",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "540-774-4263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PPO HMO ID",
            "identifier": "227277",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4951786",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SVCS ID",
            "identifier": "153707",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall Charlottesville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Charlottesville, VA
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.