Active NPI
Hospital for Extended Recovery
- Long Term Care Hospital
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- H-1858
- Legal business name
- HOSPITAL FOR EXTENDED RECOVERY
- Practice address
- 600 Gresham Dr
Ste 700
Norfolk, VA 23507-1904 - Phone
- (757) 388-1700
- Fax
- (757) 388-1371
- NPI assigned
- Apr 24, 2006
- 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
- Aimee Vergara
- Title
- Ceo
- Phone
- (757) 388-1700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | H 1858 | VA | |
| Long Term Care Hospital | 282E00000X | H-1858 | VA | Primary |
Addresses
Primary practice location
600 Gresham Dr
Ste 700
Norfolk, VA 23507-1904
Mailing address
600 Gresham Dr
Ste 700
Norfolk, VA 23507-1904
Phone (757) 388-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004901347 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030224000000 | VA | Part A Provider - Hospital | 1759290273 | Practice locations: Norfolk, VA |
Hospital certification: CCN 492007
- Legal name
- HOSPITAL FOR EXTENDED RECOVERY
- Doing business as
- HOSPITAL FOR EXTENDED RECOVERY
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jun 1, 2002
- Last certification
- May 29, 2025
- Beds
- 35
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Dec 14, 1982 in VA
- Enrollment address
- 600 Gresham Drive
Suite 700
Norfolk, VA 23507-1904 - Hospital subgroups
- Long-term
Hospital certification: CCN 490133
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HOSPITAL FOR EXTENDED RECOVERY
- Certification status
- Terminated Other: provider status change, Jul 1, 2002
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Nov 26, 2001
- Last certification
- Nov 26, 2001
- Beds
- 1
- Ownership / control type
- Other
- Facility address
- 600 Gresham Drive Suite 700
Norfolk, VA 23507
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Hospital for Extended Recovery
- Ownership
- Non-profit
- Certified
- Jun 1, 2002
- Medicare certification status
- Active
- Beds
- 35
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0993431 | Hospital for Extended Recovery | Compliance | Apr 22, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
600 Gresham Dr
Ste 700
Norfolk, VA 23507
Phone (757) 388-1700
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sentara Life Care Corporation | 5% Or Greater Direct Ownership Interest | Jul 23, 2001 | 100% |
| Nam Ly | Corporate Director | Jan 1, 2024 | |
| Felicia M Toreno | Corporate Officer | Sep 24, 2009 | |
| Corporate Director | Dec 13, 2007 | ||
| Guy Russell Friddell | Corporate Officer | Sep 25, 2001 | |
| Corporate Director | Sep 25, 2001 | ||
| Kelly Ann Sasha Thomson | Corporate Director | Dec 5, 2024 | |
| Katonga Peacock | Corporate Officer | Jul 24, 2024 | |
| Hugh Lester Patterson | Corporate Director | Sep 25, 2001 | |
| Aimie M Vergara | Corporate Officer | Mar 24, 2016 | |
| W-2 Managing Employee | Jan 1, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1972000818
Corporate Director
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": "1145836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1942266515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"address_2": "STE 700",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-1700",
"fax_number": "757-388-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"address_2": "STE 700",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-1700",
"fax_number": "757-388-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL FOR EXTENDED RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-24",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "VERGARA",
"authorized_official_first_name": "AIMEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-388-1700"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "VA",
"license": "H 1858",
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "VA",
"license": "H-1858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004901347",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- Hosana Home Healthcare
- Tamara Hosch
- Natalie Hoskowitz
- Hospital Authority of Norfolk (Lake Taylor Transitional Care Hospital)
- Hospital Authority of Norfolk (Lake Taylor Transitional Care Hospital)
- Rachel Elizabeth Houck, LCSW
- Christine M. Houlihan, MD
- Lauren Wood House, NNP-BC
- Clare A Houseman, CNS
- Marisa B Houser, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.