Organization Active NPI

Fredericksburg Health Care LLC

Doing business as Carriage Hill Health & Rehab Center

  • Skilled Nursing Facility
  • Fredericksburg, VA
National Provider Identifier
1912153164
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FREDERICKSBURG HEALTH CARE LLC
Doing business as
Carriage Hill Health & Rehab Center
Practice address
6106 Health Center LN
Fredericksburg, VA 22407-6687
Phone
(540) 785-1120
Fax
(540) 785-1105
NPI assigned
Aug 7, 2008
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

6106 Health Center LN
Fredericksburg, VA 22407-6687

Mailing address

5372 Fallowater LN
Suite 200
Roanoke, VA 24018-0907
Phone (540) 725-8910

Other identifiers 2

IdentifierTypeStateIssuer
004952651MedicaidVA
367818OtherANTHEM MEDIGAP NUMBER

Other names 1

  • Carriage Hill Health & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000763 VA Part A Provider - Skilled Nursing Facility 0840365680 Practice locations: Fredericksburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912153164. Details of each certification follow.

Skilled nursing facility certification: CCN 495396

Legal name
FREDERICKSBURG HEALTH CARE LLC
Doing business as
CARRIAGE HILL HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 21, 2008
Last certification
Jun 7, 2023
Beds
150
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 1, 2008
Organization structure
LLCProprietary
Incorporated
May 2, 2008 in VA
Enrollment address
6106 Health Center Lane
Fredericksburg, VA 22407-6687
Nursing home name
CARRIAGE HILL HEALTH & REHAB CENTER
Affiliated entity
COMMONWEALTH CARE OF ROANOKE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carriage Hill Health & Rehab CenterCCN 495396 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 21, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150141.3 residents per day on average
Chain
Commonwealth Care of Roanoke12 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
49D1090418Carriage Hill Health & Rehabilitation Center6106 Health Center Lane, Fredericksburg, VA 22407Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

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
Brady Sheffer Individual 5% Or Greater Indirect Ownership Interest Sep 30, 2008 19%
James Petrine Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2008 22.65%
John Sevier Individual W-2 Managing EmployeeAdministrator Sep 10, 2012
Lury Goodall Individual 5% Or Greater Direct Ownership Interest Sep 30, 2008 16.75%
Deborah Petrine Individual 5% Or Greater Indirect Ownership Interest Sep 30, 2008 22.65%
Corporate OfficerChairman/Ceo Sep 30, 2008
DJ Petrine LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Sep 30, 2008 49.25%
Joe Alesantrino Individual Corporate Officer Jun 1, 2019
Patricia Stallard Individual 5% Or Greater Direct Ownership Interest Sep 30, 2008 10%
David Tucker Individual Corporate OfficerPresident & Coo Oct 1, 2008
Bdsheffer LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Sep 30, 2008 19%
Commonwealth Care of Roanoke Inc Organization, Roanoke, VA Corporation Operational/Managerial Control Sep 30, 2008

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1912153164",
    "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": "6106 HEALTH CENTER LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076687",
            "telephone_number": "540-785-1120",
            "fax_number": "540-785-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004952651",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDIGAP NUMBER",
            "identifier": "367818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Hill Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.