Organization Active NPI

Beaufont Care Center LLC

Doing business as Beaufont Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Richmond, VA
National Provider Identifier
1508440785
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAUFONT CARE CENTER LLC
Doing business as
Beaufont Health & Rehabilitation Center
Practice address
200 Hioaks Rd
Richmond, VA 23225-4048
Phone
(804) 272-2918
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
Sarah Tubaugh
Title
Administrator
Phone
(804) 272-2918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

200 Hioaks Rd
Richmond, VA 23225-4048

Mailing address

200 Hioaks Rd
Richmond, VA 23225-4048

Other names 1

  • Beaufont 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
O20210819001876 VA Part A Provider - Skilled Nursing Facility 5496150070 Practice locations: Richmond, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508440785. Details of each certification follow.

Skilled nursing facility certification: CCN 495260

Legal name
BEAUFONT CARE CENTER LLC
Doing business as
BEAUFONT HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 13, 1992
Last certification
May 14, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
May 28, 2021
Organization structure
LLCProprietary
Incorporated
Mar 4, 2021 in NV
Enrollment address
200 Hioaks Rd
Richmond, VA 23225-4048
Nursing home name
BEAUFONT HEALTH AND REHABILITATION CENTER
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Beaufont Health and Rehabilitation CenterCCN 495260 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 13, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.9 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain
Penalties (3 years)
1Fines totaling $8,197

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
49D0678425Beaufont Health & Rehabilitation Center200 Hioaks Road, Richmond, VA 23225Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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%
Beaufont Holdings I LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%
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%
Jonathan Terrell Individual W-2 Managing Employee Sep 7, 2023 100%
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 Aug 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%
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%
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, Montebello, NY 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 2

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": "1508440785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254048",
            "telephone_number": "804-272-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFONT 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": "TUBAUGH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-272-2918"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaufont Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.