Organization Active NPI

GL Virginia Martinsville, LLC

  • Skilled Nursing Facility
  • Martinsville, VA
National Provider Identifier
1770027542
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GL VIRGINIA MARTINSVILLE, LLC
Doing business as
Martinsville Health and Rehab
Practice address
1607 Spruce Street Ext
Martinsville, VA 24112-5814
Phone
(276) 632-7146
Fax
(276) 632-1112
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1607 Spruce Street Ext
Martinsville, VA 24112-5814

Mailing address

1607 Spruce Street Ext
Martinsville, VA 24112-5814
Phone (276) 632-7146

Other names 1

  • Martinsville 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
O20170220000727 VA Part A Provider - Skilled Nursing Facility 4880977719 Practice locations: Martinsville, VA

Skilled nursing facility certification: CCN 495143

Legal name
GL VIRGINIA MARTINSVILLE LLC
Doing business as
MARTINSVILLE HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1984
Last certification
Jun 15, 2022
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Trio Healthcare
Organization structure
LLCProprietary
Incorporated
Oct 11, 2016 in GA
Enrollment address
1607 Spruce Street Ext
Martinsville, VA 24112-5814
Nursing home name
MARTINSVILLE HEALTH AND REHAB
Affiliated entity
TRIO HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Martinsville Health and RehabCCN 495143 · All quality measures
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 - Limited Liability company
Certified
Sep 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14085.4 residents per day on average
Chain
Trio Healthcare9 facilities in the chain

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
49D0662703Martinsville Health and Rehab1607 Spruce Street, Martinsville, VA 24112Certificate of waiverJun 10, 2027

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
Duane Davis Individual W-2 Managing EmployeeAdministrator May 29, 2023
Trio Healthcare Investors LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 16, 2016 100%
Boyd P Gentry Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2016 42.9%
Corporate OfficerVice President 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 100%
GL Virginia Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 16, 2016 100%
David Rubenstein Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2016 57.1%
Corporate OfficerPresident and Chief Executive of 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 2

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": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1770027542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 SPRUCE STREET EXT",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241125814",
            "telephone_number": "276-632-7146",
            "fax_number": "276-632-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 SPRUCE STREET EXT",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241125814",
            "telephone_number": "276-632-7146",
            "fax_number": "276-632-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL VIRGINIA MARTINSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND 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": "Martinsville Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.