The Village at Orchard Ridge, Inc.
Organization Active NPI Skilled Nursing Facility · Winchester, VA
NPI 1821332453 · NPPES record last updated Nov 20, 2012
Key facts
- NPI
- 1821332453
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE VILLAGE AT ORCHARD RIDGE, INC.
- Practice address
- 320 Westside Station Dr
Winchester, VA 22601-2839 - Phone
- (540) 723-0853
- Fax
- (540) 723-0858
- NPI assigned
- Nov 20, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- NATIONAL LUTHERAN HOME FOR THE AGED, INC.
Authorized official
- Name
- Mr. Michael Joseph Brady, CPA
- Title
- Chief Financial Officer
- Phone
- (301) 354-2714
Affiliated clinicians 19
-
Emad M Botros, MD
-
Ruma Dahal, MD
-
Kara Dehaven, PA-C
-
David Clark Flack, D.O.
-
Johanna Lynn Gaskins, DNP, APRN, AGNP-C
-
Linda L Luong, M.D.
-
Lisa C Rader, A-NP
-
Bessie J Raines, NP
-
Shyama Rosenfeld, MD
-
Taylor Elizabeth Swansen, M.D.
Medicare Care Compare: Nursing home
- Listed as
- The Village at Orchard Ridge
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jul 31, 2014
- Medicare certification status
- Active
- Certified beds
- 20 · 18.2 residents per day on average
- Chain
- National Lutheran Communities & Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495415
- Legal name
- THE VILLAGE AT ORCHARD RIDGE INC
- Doing business as
- FRIENDS SERVICES ALLIANCE (FSA)
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 31, 2014
- Last certification
- Mar 6, 2024
- Beds
- 20
- Ownership / control type
- Church Related
- Multi-facility organization
- National Lutheran Communities and Svcs
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 25, 2008 in VA
- Enrollment address
- 400 Clocktower Ridge Dr
Winchester, VA 22603-3878 - Nursing home name
- THE VILLAGE AT ORCHARD RIDGE
- Affiliated entity
- NATIONAL LUTHERAN COMMUNITIES & SERVICES
All disclosed owners & managing parties 43
| Name | Role | Since | Share |
|---|---|---|---|
| |
Trustee of the SNF | Feb 1, 2025 | |
| Victoria Blakemore |
Corporate Director |
Dec 19, 2021 | |
| Adp of the SNF | Dec 19, 2021 | ||
| |
Adp of the SNF | Apr 14, 2025 | |
| Susan Mason |
Operational/Managerial Control | Jan 11, 2021 | |
| Adp of the SNF | Jan 11, 2021 | ||
| William Custer |
Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| |
Adp of the SNF | Apr 15, 2025 | |
| Steven Nastasi |
Corporate Director |
Nov 27, 2023 | |
| Operational/Managerial Control | Nov 27, 2023 | ||
| Adp of the SNF | Nov 27, 2023 | ||
| |
Adp of the SNF | Apr 15, 2025 | |
| |
Adp of the SNF | Apr 14, 2025 | |
| Lori Rosamond |
Operational/Managerial Control | Jan 30, 2013 | |
| Adp of the SNF | Jan 30, 2013 | ||
| Craig Wagoner |
Corporate Officer |
Mar 19, 2023 | |
| Adp of the SNF | Mar 19, 2023 | ||
| |
Trustee of the SNF | Feb 1, 2023 | |
| Erin Radigan |
Operational/Managerial Control | Sep 29, 2023 | |
| Adp of the SNF | Sep 29, 2023 | ||
| Medardo Cruz |
Operational/Managerial Control | Apr 1, 2019 | |
| Adp of the SNF | Apr 1, 2019 | ||
| |
Adp of the SNF | Apr 14, 2025 | |
| |
Trustee of the SNF | Feb 1, 2025 | |
| |
Adp of the SNF | Apr 14, 2025 | |
| Mary Palomo |
Operational/Managerial Control | Dec 13, 2021 | |
| Adp of the SNF | Dec 13, 2021 | ||
| Allison Combs |
Corporate Director |
Dec 19, 2021 | |
| Operational/Managerial Control | Dec 19, 2021 | ||
| Adp of the SNF | Dec 19, 2021 | ||
| |
Trustee of the SNF | Feb 1, 2020 | |
| Sarah Isham |
Operational/Managerial Control | Jul 9, 2018 | |
| Adp of the SNF | Jul 9, 2018 | ||
| |
Adp of the SNF | Apr 14, 2025 | |
| Shannon Loy |
Operational/Managerial Control | Jul 3, 2022 | |
| Adp of the SNF | Jul 3, 2022 | ||
| |
Adp of the SNF | Apr 21, 2025 | |
| |
Trustee of the SNF | Feb 1, 2022 | |
| |
Adp of the SNF | Apr 14, 2025 | |
| Melissa Rutz |
Operational/Managerial Control | Oct 10, 2021 | |
| Adp of the SNF | Oct 10, 2021 | ||
| Melissa Wood |
Operational/Managerial Control | Oct 14, 2019 | |
| Adp of the SNF | Oct 14, 2019 | ||
| Bonnie Coulter |
Operational/Managerial Control | Jul 15, 2024 | |
| Adp of the SNF | Jul 15, 2024 | ||
| |
Adp of the SNF | May 19, 2025 | |
| Jared Ault |
Operational/Managerial Control | Jan 23, 2017 | |
| Adp of the SNF | Jan 23, 2017 | ||
| Elizabeth Patterson |
Operational/Managerial Control | Feb 24, 2025 | |
| Adp of the SNF | Feb 24, 2025 | ||
| Michelle Hollis |
Operational/Managerial Control | Jul 27, 2020 | |
| Adp of the SNF | Jul 27, 2020 | ||
| National Lutheran Inc |
5% Or Greater Direct Ownership Interest | Jul 20, 2011 | 100% |
| Operational/Managerial Control | Jul 20, 2011 | 17.5% | |
| John Midolo |
Corporate Director |
Aug 14, 2022 | |
| Adp of the SNF | Aug 14, 2022 | ||
| Donna Burkett Casner |
Corporate Officer |
Jun 25, 2018 | |
| Adp of the SNF | Jun 25, 2018 | ||
| Garri Ann Hearn |
Operational/Managerial Control | May 1, 2018 | |
| Adp of the SNF | May 1, 2018 | ||
| Cynthia Walters |
Corporate Officer |
Aug 21, 2021 | |
| Adp of the SNF | Aug 21, 2021 | ||
| |
Trustee of the SNF | Feb 1, 2025 | |
| |
Adp of the SNF | Jun 9, 2025 | |
| Lauren Gwinn |
Operational/Managerial Control | Nov 20, 2022 | |
| Adp of the SNF | Nov 20, 2022 | ||
| Joanne Portalanza |
Operational/Managerial Control | Dec 3, 2018 | |
| Adp of the SNF | Dec 3, 2018 | ||
| |
Adp of the SNF | Apr 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131122001979 | VA | Part a Provider - Skilled Nursing Facility | 4688800543 | Practice locations: Winchester, VA |
National Provider Directory
- Part of
- National Lutheran Home for the Aged Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
320 Westside Station Dr
Winchester, VA 22601-2839
Mailing address
320 Westside Station Dr
Winchester, VA 22601-2839
Phone (540) 723-0853
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.