Organization Active NPI

Manassas Health Care LLC

Doing business as Manassas Health & Rehab Center

  • Skilled Nursing Facility
  • Manassas, VA
National Provider Identifier
1609986744
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MANASSAS HEALTH CARE LLC
Doing business as
Manassas Health & Rehab Center
Practice address
8575 Rixlew Lane
Manassas, VA 20109-3701
Phone
(703) 257-9770
Fax
(703) 257-3364
NPI assigned
Aug 30, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Joseph Anthony Alesantrino
Title
Chief Financial Officer
Phone
(540) 725-8910

Specialties & licenses 1

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

Addresses

Primary practice location

8575 Rixlew Lane
Manassas, VA 20109-3701

Mailing address

5372 Fallowater LN
Suite 200
Roanoke, VA 24018-0907
Phone (540) 725-8910

Other identifiers 2

IdentifierTypeStateIssuer
289936OtherVAANTHEM MEDIGAP
004951158MedicaidVA

Other names 1

  • Manassas Health & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000495 VA Part A Provider - Skilled Nursing Facility 0143224758 Practice locations: Manassas, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609986744. Details of each certification follow.

Skilled nursing facility certification: CCN 495038

Legal name
MANASSAS HEALTH CARE LLC
Doing business as
MANASSAS HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1979
Last certification
Mar 10, 2022
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Commonwealth Care of Roanoke
Organization structure
LLCProprietary
Incorporated
Sep 8, 2003 in VA
Enrollment address
8575 Rixlew Lane
Manassas, VA 20109
Nursing home name
MANASSAS HEALTH AND REHAB CENTER
Affiliated entity
COMMONWEALTH CARE OF ROANOKE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Manassas Health and Rehab CenterCCN 495038 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.4 residents per day on average
Chain
Commonwealth Care of Roanoke12 facilities in the chain
Penalties (3 years)
2Fines totaling $16,376

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
49D1063756Manassas Health and Rehab Center8575 Rixlew Lane, Manassas, VA 20109Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Brady Sheffer Individual 5% Or Greater Indirect Ownership InterestOwner Oct 8, 2006 20%
James Petrine Individual 5% Or Greater Indirect Ownership InterestOwner Oct 8, 2006 23.46%
Lury Goodall Individual 5% Or Greater Direct Ownership InterestOwner Oct 8, 2006 19%
Katelyn J. Whittington Individual W-2 Managing EmployeeAdministrator Nov 5, 2017 100%
Deborah Petrine Individual 5% Or Greater Indirect Ownership InterestChairman & Ceo Oct 8, 2006 23.46%
Corporate OfficerChairman & Ceo Oct 8, 2006
DJ Petrine LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Oct 8, 2005 51%
Joe Alesantrino Individual Corporate Officer Jun 1, 2019
Patricia Stallard Individual 5% Or Greater Direct Ownership InterestOwner Oct 8, 2005 10%
Bdsheffer LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Oct 8, 2005 20%
Commonwealth Care of Roanoke Inc Organization, Roanoke, VA Corporation Operational/Managerial Control Oct 5, 2005

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1609986744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 FALLOWATER LN",
            "address_2": "SUITE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180907",
            "telephone_number": "540-725-8910",
            "fax_number": "540-725-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 RIXLEW LANE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093701",
            "telephone_number": "703-257-9770",
            "fax_number": "703-257-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "ALESANTRINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "540-725-8910"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDIGAP",
            "identifier": "289936",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004951158",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manassas Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.