NPIMap

Organization Active NPI

Sentara Life Care Corporation

  • Assisted Living Facility
  • Norfolk, VA
National Provider Identifier
1528059748
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ELO 2004-429 Issued in VA
Legal business name
SENTARA LIFE CARE CORPORATION
Practice address
251 S Newtown Rd
Norfolk, VA 23502-5718
Phone
(757) 892-5200
Fax
(757) 892-5217
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ELO 2004-429 VA Primary

Addresses

Primary practice location

251 S Newtown Rd
Norfolk, VA 23502-5718

Mailing address

251 S Newtown Rd
Norfolk, VA 23502-5718
Phone (757) 892-5400

Other names 1

  • Sentara Village at Norfolk Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marylou Weiss7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1528059748",
    "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": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "757-892-5200",
            "fax_number": "757-892-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA LIFE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-04-08",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "ELO 2004-429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Village at Norfolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.