Sentara Life Care Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2680 Issued in VA

Legal business name

SENTARA LIFE CARE CORPORATION

Practice address

2230 Executive Dr
Hampton, VA 23666-2430

Phone

(757) 224-2230

Fax

(757) 224-2231

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Bruce Robertson

Title

Vice President Sentara Life Care

Phone

(757) 892-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sentara Nursing & Rehab Center Hampton Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sentara Life Care Corporation

  • Long Term Care Pharmacy
  • Virginia Beach, VA
  • NPI 1487644795

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1528059029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "757-892-5400",
            "fax_number": "757-892-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662430",
            "telephone_number": "757-224-2230",
            "fax_number": "757-224-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA LIFE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT SENTARA LIFE CARE",
        "authorized_official_telephone_number": "757-892-5400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-5287-1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Nursing & Rehab Center Hampton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Health Care
• Sentara Healthcare
• Sentara Hospitals
• Sentara Hospitals
• Sentara Hospitals
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group

• Skilled Nursing Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.