NPIMap

Dinwiddie Health Care LLC

Organization Active NPI Skilled Nursing Facility · Petersburg, VA

NPI 1497922843 · NPPES record last updated Jan 13, 2021

Key facts

NPI
1497922843
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
DINWIDDIE HEALTH CARE LLC
Practice address
46 Diamond Drive
Petersburg, VA 23803-7495
Phone
(804) 518-0780
Fax
(804) 518-0787
NPI assigned
May 14, 2008
Organization subpart
No

Authorized official

Name
Joseph Anthony Alesantrino
Title
Chief Financial Officer
Phone
(540) 725-8910

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

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

Affiliated clinicians 1

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

Medicare Care Compare: Nursing home

Listed as
Dinwiddie Health and Rehab Center CCN 495398
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 - Corporation
Certified
Oct 28, 2008
Medicare certification status
Active (Provider of Services file)
Certified beds
60 · 55.4 residents per day on average
Chain
Commonwealth Care of Roanoke (12 facilities)
Penalties (3 years)
1 · fines totaling $8,278

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1086918Dinwiddie Health Care, LLC
46 Diamond Drive, Petersburg, VA 23803		Certificate of waiverJul 21, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Skilled nursing facility certification: CCN 495398

Legal name
DINWIDDIE HEALTH CARE LLC
Doing business as
DINWIDDIE HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 28, 2008
Last certification
Feb 7, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Commonwealth of Roanoke
Organization structure
LLC · Proprietary
Incorporated
Jan 17, 2008 in VA
Enrollment address
46 Diamond Dr
North Dinwiddie, VA 23803-7495
Nursing home name
DINWIDDIE HEALTH AND REHAB CENTER
Affiliated entity
COMMONWEALTH CARE OF ROANOKE

All disclosed owners & managing parties 21

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

NameRoleSinceShare

Organization · Omaha, NE
LLC, Medical staffing company 		Adp of the SNF Dec 1, 2025
Andrew Overstreet
Individual 		Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Brady Sheffer
Individual 		5% Or Greater Indirect Ownership Interest Aug 1, 2008 15%
Corporate Officer
Treasurer		 Feb 1, 2005
Adp of the SNF Jul 15, 2020
Indirect Ownership Interest Jan 9, 2008 15%
James Petrine
Individual 		5% Or Greater Indirect Ownership Interest Aug 1, 2008 22.65%
Adp of the SNF Jul 15, 2020
Indirect Ownership Interest Apr 3, 2020 22.65%

Individual 		Adp of the SNF Jul 15, 2020
Direct Ownership Interest Jan 9, 2008 2.5%
John Sevier
Individual 		Operational/Managerial Control Oct 1, 2012
Lury Goodall
Individual 		5% Or Greater Direct Ownership Interest Aug 1, 2008 16.75%
Adp of the SNF Jul 15, 2020
Direct Ownership Interest Jan 9, 2008 16.75%

Organization · Lake Mary, FL
Medical staffing company 		Adp of the SNF Dec 2, 2025

Organization · Irving, TX
LLC, Medical staffing company 		Adp of the SNF Dec 2, 2025
Deborah Petrine
Individual 		5% Or Greater Indirect Ownership Interest Aug 1, 2008 22.65%
Corporate Officer
Chairman/Ceo		 Aug 1, 2008
Adp of the SNF Jul 15, 2020

Organization · Roanoke, VA
LLC 		Adp of the SNF Jul 15, 2020
Adam Wali Hamidi
Individual 		Adp of the SNF Dec 2, 2025

Organization · Baltimore, MD
Corporation, Financial institution 		Adp of the SNF Dec 3, 2025
DJ Petrine LLC
Organization · Roanoke, VA
LLC, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Aug 1, 2008 49.25%
Adp of the SNF Jul 15, 2020
Ty'Shanda Williams
Individual 		Operational/Managerial Control Nov 17, 2025
Joe Alesantrino
Individual 		Corporate Officer Jun 1, 2019
Adp of the SNF Jun 1, 2019
Patricia Stallard
Individual 		5% Or Greater Direct Ownership Interest Aug 1, 2008 10%
Adp of the SNF Apr 3, 2020
Direct Ownership Interest Apr 3, 2020 10%

Organization · Henrico, VA
Medical provider/supplier 		Adp of the SNF Dec 1, 2025
David Tucker
Individual 		Corporate Officer
President		 Jul 1, 2007
Adp of the SNF Jul 15, 2020
Bdsheffer LLC
Organization · Roanoke, VA
LLC, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Aug 1, 2008 19%
Adp of the SNF Jul 15, 2020
Direct Ownership Interest Jan 9, 2008 19%
Commonwealth Care of Roanoke Inc
Organization · Roanoke, VA
Corporation 		Operational/Managerial Control Jun 14, 2007
Adp of the SNF Dec 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080723000594 VA Part a Provider - Skilled Nursing Facility 4880767805 Practice locations: North Dinwiddie, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

46 Diamond Drive
Petersburg, VA 23803-7495

Mailing address

5372 Fallowater LN
Suite 200
Roanoke, VA 24018-0907
Phone (540) 725-8910

Other identifiers

IdentifierTypeStateIssuer
1497922843MedicaidVA
367817OtherANTHEM MEDIGAP NUMBER

Other names

  • Dinwiddie Health & Rehab Center Doing business as

Other providers in Petersburg, VA

All providers in Petersburg, VA · Skilled Nursing Facility in Virginia

Sources for this page

Verify at the official NPI Registry.