Active NPI
Charlottesville Care Center LLC
Doing business as Charlottesville Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2021
- 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
- Annette Allen-Santo
- Title
- Administrator
- Phone
- (434) 978-7015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 29, 1988
- Medicare certification status
- Active
- Certified beds
- 105
- Chain
- Lifeworks Rehab
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nathan 5604 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.49% |
| Nathan 5604 & Family LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Sas 1998 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Matt 2002 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Golden 2017 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Golden 2017 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Central Bay LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 75% |
| Ak 2003 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 5% |
| Matt 2002 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Annette a Allen Santos | Operational/Managerial Control | May 28, 2021 | |
| Moshe Y Rajchenbach | Corporate Officer | May 28, 2021 | |
| Al 2003 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Nathan 5604 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Charlottesville Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Rybst Central Manager LLC | Operational/Managerial Control | May 28, 2021 | 100% |
| MRCZ Central LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 25% |
| Pivotal Central 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.
-
dba Albermarle Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1003490277
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·
-
dba Appomattox Health & Rehabilitation Center
- Skilled Nursing Facility
- Appomattox, VA
- NPI 1639753809
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·
-
dba Bayside Health & Rehabilitation Center
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1528642790
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust
-
dba Beaufont Health & Rehabilitation Center
- Skilled Nursing Facility
- Richmond, VA
- NPI 1508440785
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Golden 2017 Family Grantor Trust, Golden 2017 LLC, Matt 2002 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC ·
-
dba Berkshire Health & Rehabilitation Center
- Skilled Nursing Facility
- Vinton, VA
- NPI 1861076044
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Bowling Green Health & Rehabilitation Center
- Skilled Nursing Facility
- Bowling Green, VA
- NPI 1619551801
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Burke Health & Rehabilitation Center
- Skilled Nursing Facility
- Burke, VA
- NPI 1861076051
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Chesapeake Health & Rehabilitation Center
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1649854837
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Culpeper Health & Rehabilitation Center
- Skilled Nursing Facility
- Culpeper, VA
- NPI 1265016455
Ak 2003 Family Trust, Al 2003 Family Trust, Central Bay LLC, Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Matt 2002 LLC, MRCZ Central LLC, Nathan 5604 & Family LLC, Nathan 5604 LLC, Pivotal Central LLC, Rybst Central Mana
-
dba Fairfax Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Fairfax, VA
- NPI 1033718382
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
-
dba Franklin Health & Rehabilitation Center
- Skilled Nursing Facility
- Rocky Mount, VA
- NPI 1154905354
Ak 2003 Family Trust, Al 2003 Family Trust, Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Sas 1998 Family Trust, Saul 2012 Family Grantor Trust
-
dba Glenburnie Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Richmond, VA
- NPI 1073154373
Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust
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
- Charlottesville After Hours Dental, PLC
- Charlottesville Allergy & Respiratory Enterprises PLLC
- Charlottesville Area Dental Access Inc (Community Children's Dental Center)
- Charlottesville Area Retirement Service, Inc. (Blue Ridge PACE)
- Charlottesville Blue Ridge Dental, PLC
- Charlottesville City Schools
- Charlottesville Counseling Group
- Charlottesville Dental Associates
- Charlottesville Dermatology
- Charlottesville Empowerment: Counseling and Wellness Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.