Regency SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY SNF LLC

Practice address

112 N Constitution Dr
Yorktown, VA 23692-2792

Phone

(757) 890-0675

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

David Caldwell

Title

Administrator

Phone

(757) 890-0675

Specialties & licenses 1

Addresses

Other names 1

• Regency Health & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Skilled nursing facility certification: CCN 495189

Legal name

REGENCY SNF LLC

Doing business as

REGENCY HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 8, 1989

Last certification

Feb 8, 2024

Beds

60

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

May 28, 2021

Organization structure

LLCProprietary

Incorporated

Mar 4, 2021 in NV

Enrollment address

112 N Constitution Dr
Yorktown, VA 23692-2792

Nursing home name

REGENCY HEALTH AND REHABILITATION CENTER

Affiliated entity

LIFEWORKS REHAB

Listed as

Regency Health and Rehabilitation CenterCCN 495189

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 8, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6055.4 residents per day on average

Chain

Lifeworks Rehab64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 18

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 38

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

• Albemarle Care Center LLC

  • Skilled Nursing Facility
  • Charlottesville, VA
  • NPI 1003490277

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

  CMS ownership
• Appomattox Care Center LLC

  • Skilled Nursing Facility
  • Appomattox, VA
  • NPI 1639753809

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

  CMS ownership
• Bayside SNF LLC

  • 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

  CMS ownership
• Beaufont Care Center LLC

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1508440785

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

  CMS ownership
• Berkshire Operations LLC

  • 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

  • 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

  CMS ownership
• Burke SNF LLC

  • 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

  CMS ownership
• Charlottesville Care Center LLC

  • Skilled Nursing Facility
  • Charlottesville, VA
  • NPI 1487238671

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

  CMS ownership
• Chesapeake SNF LLC

  • 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

  CMS ownership
• Culpeper Care Center LLC

  • Skilled Nursing Facility
  • Culpeper, VA
  • NPI 1265016455

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

  CMS ownership
• Fairfax Operator LLC

  • 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

  • Skilled Nursing Facility
  • Rocky Mount, VA
  • NPI 1154905354

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

  CMS ownership

Affiliated clinicians 2

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

• Alex Wahid Hamidi, DO

  • Emergency Medicine Physician
  • Williamsburg, VA
  • NPI 1760945513

  Nursing home

  Care Compare affiliation
• Jean-Marie Kakubudia Mpoy Kanyinda, MD

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1700809894

  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": "1336713510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CONSTITUTION DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CONSTITUTION DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922792",
            "telephone_number": "757-890-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY 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": "CALDWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-890-0675"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Destiny Randall
• Danielle Rawles
• Wendy Leigh Ray, MS CCC-SLP
• Taniya Real, RBT
• Red Star Dental
• Khalin Alexander Reid
• Restored Life Wellness Center, PLLC
• Results Therapy Inc.
• Allison J Revere
• Richmond Medical Services PLLC

• Skilled Nursing Facility in Yorktown, VA
• Providers in Yorktown, 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.