NPIMap

Organization Active NPI

Lexington Life Care Corp

  • Skilled Nursing Facility
  • Lexington, VA
National Provider Identifier
1881684330
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2579 Issued in VA
Legal business name
LEXINGTON LIFE CARE CORP
Practice address
205 Houston St
Lexington, VA 24450-2415
Phone
(540) 464-8181
Fax
(540) 464-8181
NPI assigned
Oct 26, 2005
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Cassandra Gallant
Title
Compliance & Privacy Officer
Phone
(540) 774-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2579 VA Primary

Addresses

Primary practice location

205 Houston St
Lexington, VA 24450-2415

Mailing address

3131 Electric Rd Ste 100
Roanoke, VA 24018-6427
Phone (540) 774-4263

Other identifiers 3

IdentifierTypeStateIssuer
608689600OtherVAFEDERAL BLACK LUNG ID
227268OtherVAANTHEM BCBS HMO PPO ID
4953215MedicaidVA

Other names 1

  • Heritage Hall Lexington Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060203000459 VA Part A Provider - Skilled Nursing Facility 0749201408 Practice locations: Lexington, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881684330. Details of each certification follow.

Skilled nursing facility certification: CCN 495321

Legal name
LEXINGTON LIFE CARE CORP
Doing business as
HERITAGE HALL - LEXINGTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1997
Last certification
Sep 21, 2022
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
American Healthcare LLC
Organization structure
CorporationProprietary
Enrollment address
205 Houston St
Lexington, VA 24450-2415
Nursing home name
HERITAGE HALL LEXINGTON
Affiliated entity
HERITAGE HALL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Hall LexingtonCCN 495321 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.8 residents per day on average
Chain
Heritage Hall15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

3131 Electric Rd
Ste 100
Roanoke, VA 24018

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
William B Hopkins Individual Corporate Director Oct 4, 2024
Brad Dalton Individual Operational/Managerial Control Jul 11, 2024
Adp of the SNF Jul 11, 2024
CRC Blind Trust Organization, Roanoke, VA 5% Or Greater Direct Ownership Interest Jul 10, 2020 7%
Trustee of the SNF Jul 10, 2020
Robert Cranwell Individual Operational/Managerial Control Oct 4, 2024
Cassandra Gallant Individual Operational/Managerial Control Jul 11, 2024
Adp of the SNF Oct 4, 2024
C. Richard Cranwell Individual 5% Or Greater Direct Ownership Interest Jul 10, 2020 3.14%
Thomas East Individual Corporate OfficerPresident & Ceo Oct 4, 2024 100%
Operational/Managerial Control Apr 21, 2014
Adp of the SNF Apr 21, 2014
WCC Third Blind Trust Organization, Roanoke, VA 5% Or Greater Direct Ownership Interest Jul 10, 2020 77.73%
American Healthcare LLC Organization, Roanoke, VA LLC Operational/Managerial Control Nov 22, 2010
Robert Dalton Individual Corporate Officer Oct 4, 2024
Operational/Managerial Control Apr 21, 2014
Adp of the SNF Apr 21, 2014
Ahc Acquisitions, LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Jul 10, 2020 12%

Facilities with the same owner 14

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

View all 14

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1881684330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELECTRIC RD STE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186427",
            "telephone_number": "540-774-4263",
            "fax_number": "540-774-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOUSTON ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502415",
            "telephone_number": "540-464-8181",
            "fax_number": "540-464-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON LIFE CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "GALLANT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "COMPLIANCE & PRIVACY OFFICER",
        "authorized_official_telephone_number": "540-774-4263"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID",
            "identifier": "608689600",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS HMO PPO ID",
            "identifier": "227268",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953215",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall Lexington",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Heritage Hall Lexington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.