Organization Active NPI

GL Virginia Shenandoah, LLC

  • Skilled Nursing Facility
  • Buena Vista, VA
National Provider Identifier
1598201014
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GL VIRGINIA SHENANDOAH, LLC
Practice address
3737 Catalpa Ave
Buena Vista, VA 24416-9620
Phone
(540) 261-7444
Fax
(540) 261-2878
NPI assigned
Jan 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
David Rubenstein
Title
President/Ceo
Phone
(404) 786-8528

Specialties & licenses 1

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

Addresses

Primary practice location

3737 Catalpa Ave
Buena Vista, VA 24416-9620

Mailing address

3737 Catalpa Ave
Buena Vista, VA 24416-9620
Phone (540) 261-7444

Other names 1

  • Shenandoah Valley Health and Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170330002329 VA Part A Provider - Skilled Nursing Facility 4688956725 Practice locations: Buena Vista, VA

Skilled nursing facility certification: CCN 495168

Legal name
GL VIRGINIA SHENANDOAH LLC
Doing business as
SHENANDOAH VALLEY HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 27, 1987
Last certification
Feb 23, 2023
Beds
93
Ownership / control type
Corporation
Multi-facility organization
Trio Healthcare
Most recent change of ownership
Dec 16, 2016
Organization structure
LLCProprietary
Incorporated
Oct 11, 2016 in GA
Enrollment address
3737 Catalpa Ave
Buena Vista, VA 24416-9620
Nursing home name
SHENANDOAH VALLEY HEALTH AND REHAB
Affiliated entity
TRIO HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shenandoah Valley Health and RehabCCN 495168
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 27, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9387.8 residents per day on average
Chain
Trio Healthcare9 facilities in the chain
Penalties (3 years)
1Fines totaling $50,635

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
49D0714469Shenandoah Valley Health and Rehab3737 Catalpa Avenue, Buena Vista, VA 24416Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Trio Healthcare Investors LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2016 100%
Boyd P Gentry Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2016 42.9%
Corporate OfficerVP Dec 16, 2016
Trio Health Care - East, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 24, 2019 100%
Trio Healthcare LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 10, 2019
GL Virginia Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 16, 2016 100%
Angela Lam Individual W-2 Managing EmployeeAdministrator May 15, 2023
David Rubenstein Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2016 57.1%
Corporate OfficerPresident & Ceo Dec 16, 2016

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1598201014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 CATALPA AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244169620",
            "telephone_number": "540-261-7444",
            "fax_number": "540-261-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 CATALPA AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244169620",
            "telephone_number": "540-261-7444",
            "fax_number": "540-261-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL VIRGINIA SHENANDOAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "404-786-8528"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Valley Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Vista, VA

Sources for this page

Verify at the official NPI Registry.