Active NPI
Manassas Health Care LLC
Doing business as Manassas Health & Rehab Center
- Skilled Nursing Facility
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 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
- Joseph Anthony Alesantrino
- Title
- Chief Financial Officer
- Phone
- (540) 725-8910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289936 | Other | VA | ANTHEM MEDIGAP |
| 004951158 | Medicaid | VA |
Other names 1
- Manassas Health & Rehab 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 |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 1, 1979
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Commonwealth Care of Roanoke
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 49D1063756 | Manassas Health and Rehab Center | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Brady Sheffer | 5% Or Greater Indirect Ownership Interest | Oct 8, 2006 | 20% |
| James Petrine | 5% Or Greater Indirect Ownership Interest | Oct 8, 2006 | 23.46% |
| Lury Goodall | 5% Or Greater Direct Ownership Interest | Oct 8, 2006 | 19% |
| Katelyn J. Whittington | W-2 Managing Employee | Nov 5, 2017 | 100% |
| Deborah Petrine | 5% Or Greater Indirect Ownership Interest | Oct 8, 2006 | 23.46% |
| Corporate Officer | Oct 8, 2006 | ||
| DJ Petrine LLC | 5% Or Greater Direct Ownership Interest | Oct 8, 2005 | 51% |
| Joe Alesantrino | Corporate Officer | Jun 1, 2019 | |
| Patricia Stallard | 5% Or Greater Direct Ownership Interest | Oct 8, 2005 | 10% |
| Bdsheffer LLC | 5% Or Greater Direct Ownership Interest | Oct 8, 2005 | 20% |
| Commonwealth Care of Roanoke Inc | 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.
-
dba Abingdon Health & Rehab Center
- Skilled Nursing Facility
- Abingdon, VA
- NPI 1710256920
Commonwealth Care of Roanoke Inc
-
dba Potomac Falls Health & Rehab Center
- Skilled Nursing Facility
- Sterling, VA
- NPI 1710291679
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Chase City Health & Rehab Center
- Skilled Nursing Facility
- Chase City, VA
- NPI 1285603142
Commonwealth Care of Roanoke Inc
-
dba The Woodlands Health & Rehab Center
- Skilled Nursing Facility
- Clifton Forge, VA
- NPI 1861461881
Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Dulles Health & Rehab Center
- Skilled Nursing Facility
- Herndon, VA
- NPI 1538473418
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Dinwiddie Health & Rehab Center
- Skilled Nursing Facility
- Petersburg, VA
- NPI 1497922843
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Carriage Hill Health & Rehab Center
- Skilled Nursing Facility
- Fredericksburg, VA
- NPI 1912153164
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Gainesville Health & Rehab Center
- Skilled Nursing Facility
- Gainesville, VA
- NPI 1689608473
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba River View on the Appomattox Health & Rehab Center
- Skilled Nursing Facility
- Hopewell, VA
- NPI 1740241181
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Radford Health & Rehab Center
- Skilled Nursing Facility
- Radford, VA
- NPI 1881663771
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
-
dba Lee Health & Rehab Center
- Skilled Nursing Facility
- Pennington Gap, VA
- NPI 1659340537
Bdsheffer LLC, Commonwealth Care of Roanoke Inc, DJ Petrine LLC
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
- Manassas Dental Care LLC (Manassas Dental Care)
- Manassas Family Medicine PLC
- Manassas Foot Clinic Inc
- Manassas Foot Clinic PLLC
- Manassas Hands-on Physical Therapy and Sports Medicine Inc
- Manassas Heart Center LLC
- Manassas Internal Medicine PC (Manassas Internal Medicine)
- Manassas Iop Inc
- Manassas Midwifery and Women's Health Center
- Manassas Midwifery and Women's Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.