Organization Active NPI

GL Virginia Blue Ridge, LLC

  • Skilled Nursing Facility
  • Galax, VA
National Provider Identifier
1336683101
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GL VIRGINIA BLUE RIDGE, LLC
Practice address
836 Glendale Rd
Galax, VA 24333-2490
Phone
(276) 236-9991
Fax
(276) 236-5563
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
David Rubenstein
Title
President and Ceo
Phone
(404) 786-8528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X VA Primary

Addresses

Primary practice location

836 Glendale Rd
Galax, VA 24333-2490

Mailing address

836 Glendale Rd
Galax, VA 24333-2490
Phone (276) 236-9991

Other names 1

  • Galax Health and Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170222001924 VA Part A Provider - Skilled Nursing Facility 9234413030 Practice locations: Galax, VA

Skilled nursing facility certification: CCN 495250

Legal name
GL VIRGINIA BLUE RIDGE LLC
Doing business as
GALAX HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1991
Last certification
Nov 16, 2023
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Trio Healthcare
Most recent change of ownership
Dec 16, 2016
Organization structure
LLCProprietary
Incorporated
Oct 11, 2016 in GA
Enrollment address
836 Glendale Rd
Galax, VA 24333-2490
Nursing home name
GALAX HEALTH AND REHAB
Affiliated entity
TRIO HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Galax Health and RehabCCN 495250
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12095.8 residents per day on average
Chain
Trio Healthcare9 facilities in the chain
Penalties (3 years)
1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0703193Galax Health and Rehab836 Glendale Road, Galax, VA 24333Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Trio Healthcare Investors LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 16, 2016 100%
Boyd P Gentry Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2016 42.9%
Corporate OfficerVice President Dec 16, 2016
Trio Health Care - East, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 24, 2019 100%
Trio Healthcare LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 10, 2019 100%
GL Virginia Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 16, 2016 100%
Robert W Viers Individual W-2 Managing Employee Oct 16, 2019
David Rubenstein Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2016 57.1%
Corporate OfficerPresident and Chief Executi Dec 16, 2016

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1336683101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332490",
            "telephone_number": "276-236-9991",
            "fax_number": "276-236-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332490",
            "telephone_number": "276-236-9991",
            "fax_number": "276-236-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL VIRGINIA BLUE RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "404-786-8528"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galax Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.