Active NPI
Essex Rehabilitation and Care Center LLC
- Skilled Nursing Facility
- Tappahannock, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- VA2702
- Legal business name
- ESSEX REHABILITATION AND CARE CENTER LLC
- Practice address
- 1150 Marsh Street
Tappahannock, VA 22560-6515 - Phone
- (804) 443-4308
- Fax
- (804) 443-6425
- NPI assigned
- Oct 23, 2006
- 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
- Mr. Ben Atkins
- Title
- Ceo
- Phone
- (727) 723-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | VA2702 | VA | Primary |
Addresses
Primary practice location
1150 Marsh Street
Tappahannock, VA 22560-6515
Mailing address
1150 Marsh Street
Tappahannock, VA 22560-6515
Phone (804) 443-4308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004953282 | Medicaid | VA |
Other names 1
- Carrington Place of Tappahannock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061222000132 | VA | Part A Provider - Skilled Nursing Facility | 3577563527 | Practice locations: Tappahannock, VA |
Skilled nursing facility certification: CCN 495328
- Legal name
- ESSEX REHABILITATION AND CARE CENTER LLC
- Doing business as
- CARRINGTON PLACE OF TAPPAHANNOCK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1998
- Last certification
- Jul 15, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- Ark Post Acute Care
- Most recent change of ownership
- Nov 1, 2006
- Organization structure
- LLC
- Incorporated
- Oct 16, 2006 in VA
- Enrollment address
- 1150 Marsh Street
Box 1488
Tappahannock, VA 22560-6515
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Carrington Place of Tappahannock
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 1, 1998
- Medicare certification status
- Active
- Certified beds
- 60
National Provider Directory
National Provider DirectoryLocations
1150 Marsh St
#1488
Tappahannock, VA 22560
Phone (804) 443-4308
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Kimberly a Justiniano | Corporate Officer | Mar 1, 2020 | 25% |
| Creative Care Resources LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2006 | 4% |
| Traditions Senior Management Inc | Operational/Managerial Control | Jun 1, 2011 | 100% |
| West Coast Commonwealth LLC | 5% Or Greater Direct Ownership Interest | Apr 20, 2021 | 96% |
| Roy Bridges | Corporate Officer | Jan 1, 2017 | 25% |
| Joseph C Hopkins | W-2 Managing Employee | Feb 20, 2017 | 25% |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Wytheville, VA
- NPI 1598796674
Creative Care Resources LLC, West Coast Commonwealth LLC
-
- Skilled Nursing Facility
- Daleville, VA
- NPI 1922039015
Creative Care Resources LLC
-
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1275041600
West Coast Commonwealth LLC
-
- Skilled Nursing Facility
- Colton, CA
- NPI 1316220247
West Coast Commonwealth LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406592000000",
"number": "1346323573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 MARSH STREET",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225606515",
"telephone_number": "804-443-4308",
"fax_number": "804-443-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 MARSH STREET",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225606515",
"telephone_number": "804-443-4308",
"fax_number": "804-443-6425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX REHABILITATION AND CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2014-07-29",
"status": "A",
"authorized_official_last_name": "ATKINS",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-723-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "VA2702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004953282",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carrington Place of Tappahannock",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tappahannock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.