Active NPI
Petersburg Post Acute LLC
Doing business as Petersburg Post Acute
- Skilled Nursing Facility
- Petersburg, VA
National Provider Identifier
1932005139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PETERSBURG POST ACUTE LLC
- Doing business as
- Petersburg Post Acute
- Practice address
- 287 E South Blvd
Petersburg, VA 23805-2700 - Phone
- (718) 483-4315
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Stern
- Title
- Authorized Official
- Phone
- (718) 483-4315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
287 E South Blvd
Petersburg, VA 23805-2700
Mailing address
287 E South Blvd
Petersburg, VA 23805-2700
Other names 1
- Petersburg Post Acute
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1932005139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 E SOUTH BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238052700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 E SOUTH BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238052700",
"telephone_number": "718-483-4315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETERSBURG POST ACUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "718-483-4315"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Petersburg Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Petersburg, VA
- Petersburg Hospital Company LLC (Southside Regional Medical Center)
- Petersburg Hospital Company LLC (Southside Regional Medical Center)
- Petersburg Hospital Company LLC (Southside Regional Medical Center)
- Petersburg Pathology Associates LTD.
- Petersburg Pharmacy PLLC (Produce Center Pharmacy)
- Petersburg Public Schools
- Damon Peterson, M.ED, PBSF
- Tammy Faye Peterson
- Heather M Pettis, M.D.
- Latisha Renee Petty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.