Organization Active NPI

Petersburg Post Acute LLC

Doing business as Petersburg Post Acute

  • Skilled Nursing Facility
  • Petersburg, VA
National Provider Identifier
1932005139
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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

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.

Verify at the official NPI Registry.