Active NPI
Beaufont Care Center LLC
Doing business as Beaufont Health & Rehabilitation Center
- Skilled Nursing Facility
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 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
- Sarah Tubaugh
- Title
- Administrator
- Phone
- (804) 272-2918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 13, 1992
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Lifeworks Rehab
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0678425 | Beaufont Health & Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| 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% |
| Beaufont Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| 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% |
| Jonathan Terrell | W-2 Managing Employee | Sep 7, 2023 | 100% |
| 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 | Aug 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% |
| 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% |
| 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 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 Charlottesville Health & Rehabilitation Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1487238671
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 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 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Richmond, VA
- NPI 1417049974
Nursing home
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
- 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.