Organization Active NPI

Hospital for Extended Recovery

  • Long Term Care Hospital
  • Norfolk, VA
National Provider Identifier
1942266515
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
H-1858 Issued in VA
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

Updated by the provider on Mar 22, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004901347MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Incorporated
Dec 14, 1982 in VA
Enrollment address
600 Gresham Drive
Suite 700
Norfolk, VA 23507-1904
Other Hospital Practice Location
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 RecoveryCCN 492007 · All quality measures
Ownership
Non-profit
Certified
Jun 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Beds
35

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
49D0993431Hospital for Extended Recovery600 Gresham Drive - Suite 700, Norfolk, VA 23507ComplianceApr 22, 2028

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
Sentara Life Care Corporation Organization, Norfolk, VA Non-profit 5% Or Greater Direct Ownership Interest Jul 23, 2001 100%
Nam Ly Individual Corporate DirectorBoard Member Jan 1, 2024
Felicia M Toreno Individual Corporate OfficerSecretary Sep 24, 2009
Corporate DirectorBoard Member Dec 13, 2007
Guy Russell Friddell Individual Corporate OfficerChairman of the Board Sep 25, 2001
Corporate DirectorBoard Member Sep 25, 2001
Kelly Ann Sasha Thomson Individual Corporate DirectorDirector Dec 5, 2024
Katonga Peacock Individual Corporate OfficerVice President Jul 24, 2024
Hugh Lester Patterson Individual Corporate DirectorBoard Member Sep 25, 2001
Aimie M Vergara Individual Corporate OfficerCeo Admin President Mar 24, 2016
W-2 Managing EmployeeAd; 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.

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

Sources for this page

Verify at the official NPI Registry.