Organization Active NPI

Culpeper Baptist Retirement Community

  • Nursing Facility/Intermediate Care Facility
  • Culpeper, VA
National Provider Identifier
1437128154
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2541 Issued in VA
Legal business name
CULPEPER BAPTIST RETIREMENT COMMUNITY
Practice address
12425 Village Loop
Box 191
Culpeper, VA 22701-0191
Phone
(540) 825-2411
NPI assigned
Mar 15, 2006
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Mr. James Francis Jacobsen, LNHA
Title
Executive Director
Phone
(540) 825-2411

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X WLO055725 VA
Nursing Facility/Intermediate Care Facility 313M00000X NH2541 VA Primary
Skilled Nursing Facility 314000000X NU

Addresses

Primary practice location

12425 Village Loop
Box 191
Culpeper, VA 22701-0191

Mailing address

PO Box 191
12425 Village Loop
Culpeper, VA 22701-0191
Phone (540) 825-2411

Other identifiers 1

IdentifierTypeStateIssuer
004967658MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090811000139 VA Part A Provider - Skilled Nursing Facility 3072511161 Practice locations: Culpeper, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437128154. Details of each certification follow.

Skilled nursing facility certification: CCN 495400

Legal name
CULPEPER BAPTIST RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 2010
Last certification
Oct 18, 2023
Beds
47
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Lifespire of Virginia
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1984 in VA
Enrollment address
12425 Village Loop
Culpeper, VA 22701-4375
Nursing home name
THE CULPEPER

Care Compare: Nursing home

Medicare Care Compare
Listed as
The CulpeperCCN 495400 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4740.2 residents per day on average

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
49D0886907Culpeper Baptist Retirement Community12425 Village Loop, Culpeper, VA 22701Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Sallie Marchello Individual Corporate DirectorTrustee Jan 1, 2018
Samuel Oakey Individual Corporate DirectorTrustee Aug 1, 2009
John Jung Individual Corporate DirectorTrustee Jan 1, 2021
Michael Keck Individual Corporate DirectorTrustee Aug 1, 2009
Jim Poats Individual Corporate DirectorTrustee Jan 1, 2022
John Peter Robinson Individual Corporate OfficerChief Marketing Officer Feb 1, 2018
James Bales Individual Corporate DirectorTrustee Jan 1, 2019
Christine Moran Individual Corporate OfficerController/Treasurer Mar 31, 2021
Arne Owens Individual Corporate DirectorTrustee Jan 1, 2020
Gary Thomson Individual Corporate DirectorTrustee Jan 1, 2022
Charles Harris Individual Corporate DirectorTrustee Aug 1, 2009
Lisa Hawthorne Individual Corporate OfficerChief Officer Strategy/Integration Jun 14, 2021
Jonathan Robert Cook Individual Corporate OfficerPresident & Ceo Jan 1, 2015
Virginia Baptist Homes Inc Organization, Glen Allen, VA Corporation, Non-profit Operational/Managerial Control Aug 1, 2009 100%
James F Jacobsen Individual W-2 Managing EmployeeExecutive Director Feb 1, 2018
Valerie Carter Individual Corporate DirectorTrustee Feb 1, 2018
John Poma Individual Corporate DirectorTrustee Jan 1, 2021
Daniel Carlton Individual Corporate OfficerOfficer/Board Chair Dec 31, 2021
Tracey Albritton Individual Corporate OfficerChief Operating Officer Dec 1, 2021
Sharon Brooks Individual Corporate DirectorTrustee Jan 1, 2021
Herbert Browning Individual Corporate DirectorTrustee Aug 1, 2009
Matthew Scott Individual Corporate DirectorTrustee Feb 1, 2018
R Scott Cave Individual Corporate DirectorTrustee Dec 31, 2021
Christopher M Markwith Individual Corporate OfficerSVP/Cfo/Treasurer Jan 31, 2018
Tiffany Franks Individual Corporate DirectorTrustee Jan 1, 2020

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1437128154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "12425 VILLAGE LOOP",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227010191",
            "telephone_number": "540-825-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 VILLAGE LOOP",
            "address_2": "BOX 191",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227010191",
            "telephone_number": "540-825-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULPEPER BAPTIST RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-825-2411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "WLO055725",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2541",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004967658",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.