Organization Active NPI

Charlottesville Care Center LLC

Doing business as Charlottesville Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Charlottesville, VA
National Provider Identifier
1487238671
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHARLOTTESVILLE CARE CENTER LLC
Doing business as
Charlottesville Health & Rehabilitation Center
Practice address
505 Rio Rd W
Charlottesville, VA 22901-1411
Phone
(434) 978-7015
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Annette Allen-Santo
Title
Administrator
Phone
(434) 978-7015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

505 Rio Rd W
Charlottesville, VA 22901-1411

Mailing address

505 Rio Rd W
Charlottesville, VA 22901-1411

Other names 1

  • Charlottesville Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823002526 VA Part A Provider - Skilled Nursing Facility 8325443781 Practice locations: Charlottesville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487238671. Details of each certification follow.

Skilled nursing facility certification: CCN 495178

Legal name
CHARLOTTESVILLE CARE CENTER LLC
Doing business as
CHARLOTTESVILLE HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 29, 1988
Last certification
Jul 10, 2024
Beds
105
Ownership / control type
Corporation
Multi-facility organization
Medical Facilities of America
Most recent change of ownership
May 28, 2021
Organization structure
LLCProprietary
Incorporated
Mar 4, 2021 in VA
Enrollment address
505 Rio Rd W
Charlottesville, VA 22901-1411
Nursing home name
CHARLOTTESVILLE HEALTH & REHABILITATION CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Charlottesville Health & Rehabilitation CenterCCN 495178 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 29, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
105100.5 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

5050 Heritage Hall Rd
Charlottesville, VA 22901

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Nathan 5604 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 22.49%
Nathan 5604 & Family LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Sas 1998 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Matt 2002 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Charles 1994 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Golden 2017 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Golden 2017 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Saul 2012 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Central Bay LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 75%
Ak 2003 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 5%
Matt 2002 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Annette a Allen Santos Individual Operational/Managerial Control May 28, 2021
Moshe Y Rajchenbach Individual Corporate Officer May 28, 2021
Al 2003 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Nathan 5604 Family Grantor Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Charlottesville Holdings I LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%
Edward 1998 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Rybst Central Manager LLC Organization, Lakewood, NJ LLC Operational/Managerial Control May 28, 2021 100%
MRCZ Central LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 25%
Pivotal Central LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 100%

Facilities with the same owner 37

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

View all 37

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": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1487238671",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN-SANTO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-978-7015"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.