Centra Post Acute Services LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2696 Issued in VA

Legal business name

CENTRA POST ACUTE SERVICES LLC

Doing business as

Summit Health & Rehabilitation Center

Practice address

1300 Enterprise Dr
Lynchburg, VA 24502-5746

Phone

(434) 200-2161

Fax

(434) 200-6638

NPI assigned

Jun 10, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRA HEALTH INCAs reported in NPPES

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

Authorized official

Name

Mr. Lewis C Addison

Title

SVP Cfo

Phone

(434) 200-4708

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Summit Health & Rehabilitation Center Doing business as

Part of

Centra Health Inc Ta WGRP

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1821401571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41000",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245064100",
            "telephone_number": "434-200-2161",
            "fax_number": "434-200-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025746",
            "telephone_number": "434-200-2161",
            "fax_number": "434-200-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA POST ACUTE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRA HEALTH INC",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SVP CFO",
        "authorized_official_telephone_number": "434-200-4708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2696",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000344",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010125359",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Centra Pace
• Centra Post Acute Services LLC (Virginia Baptist Hospital Guggenheimer)
• Centra Rehabilitation Hospital LLC
• Centracare, LLC
• Central VA Dre PLLC
• Central VA Peer Support Services
• Central Virginia Alliance for Community Living, Inc.

• Skilled Nursing Facility in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.