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LAKE PRINCE WOODS
NPI 1073500310
Skilled Nursing Facility in Suffolk, VA

Active since October 03, 2005CLIA 49D1002598 · Waiver
5/5
Overall Rating
100 ANNA GOODE WAY, SUFFOLK, VA 23434(757) 923-5500(757) 923-5502 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2021, Sep 13, 2019 (2 updates tracked since 2019).

About Lake Prince Woods NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE PRINCE WOODS (NPI 1073500310) is a healthcare organization registered as a skilled nursing facility in Suffolk, Virginia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Paula Sutton White, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1073500310
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE PRINCE CENTER, INC.
Location Address100 ANNA GOODE WAYSuffolk, VA 23434-9236
Mailing Address100 Anna Goode WaySuffolk, VA 23434-9236 · (757) 923-5500 · Fax (757) 923-5502
Phone(757) 923-5500
Fax(757) 923-5502
Organization SubpartNo
Authorized OfficialPaula Sutton WhiteAccounts Receivable Manager · (828) 465-8021
Enumeration DateOctober 3, 2005
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
✔ NPI 1073500310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in VA · NH2752
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
100 ANNA GOODE WAY, Suffolk, VA 23434
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Prince Woods

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1002598

Lake Prince Center, Inc · Suffolk, VA
Active · expires Aug 11, 2026
CLIA Number49D1002598
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJudy O. Raymond
Laboratory Phone(757) 923-5500
Laboratory LocationLake Prince Center, Inc100 Anna Goode Way, Suffolk, VA 23434
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lake Prince Woods, Inc (CMS certification number 495366), from CMS Care Compare.

Lake Prince Woods, Inc

Nursing home · Suffolk, VA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number495366
Certified Beds40 beds26 residents per day on average
Medicare & Medicaid Participant SinceJanuary 14, 2003
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
17.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.7 · LPN 1.93 · RN 0.96
5.59 hrs per resident per day
Weekend Nurse Staffing
5.18 hrs per resident per day
Physical Therapist Staffing
0.27 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.2%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS WHITESIDE
Occupational Therapist
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 923-5500
MRS. KRISTA C. STIRLING PT
Physical Therapist
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 539-5797
MR. STEPHANIE SANDERS-HOWARD MOTR/L
Occupational Therapist
100 ANNA GOODE WAY, L.P.W.
SUFFOLK, VA 23434
Suffolk City (757) 539-1526
AUSTYN CAITLYN CHAPPELL
Physical Therapy Assistant
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 923-5500
LAKE PRINCE AT HOME LLC
Hospice Care, Community Based
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 923-5559
JAIMIE PRUITT LPTA
Physical Therapy Assistant
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 923-5500
DANIELLE LINER COTA
Occupational Therapy Assistant
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 923-5500
DR. ALLISON ELAINE UPHOLD PT, DPT
Physical Therapist
100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City (757) 623-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Prince Center, Inc.'s NPI number?

The NPI number for Lake Prince Center, Inc. is 1073500310. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Lake Prince Woods.

Where is Lake Prince Center, Inc. located?

Lake Prince Center, Inc. is located at 100 Anna Goode Way, Suffolk, VA 23434. The listed phone number is (757) 923-5500.

What is Lake Prince Center, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lake Prince Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1002598) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lake Prince Center, Inc. a Medicare-certified nursing home?

Yes. Lake Prince Woods, Inc is a Medicare-certified nursing home with 40 certified beds.

What quality rating does Lake Prince Center, Inc. have?

CMS rates Lake Prince Woods, Inc 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Lake Prince Center, Inc. was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.