1811 JAMESTOWN ROAD OPCO LLC
NPI 1205644150
Skilled Nursing Facility in Williamsburg, VA

Active since December 24, 2024CLIA 49D0968766 · Waiver
1811 JAMESTOWN RD, WILLIAMSBURG, VA 23185(757) 229-9991(757) 229-9509 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Dec 24, 2024 (2 updates tracked since 2024).

About 1811 Jamestown Road Opco Llc NPPES

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

1811 JAMESTOWN ROAD OPCO LLC (NPI 1205644150), doing business as Jamestown Health & Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Williamsburg, Virginia and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Tiffany Hoback, Manager, as its authorized official.

NPPES Registry Identity

NPI1205644150
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1811 JAMESTOWN ROAD OPCO LLC
Location Address1811 JAMESTOWN RDWilliamsburg, VA 23185-2326
Mailing Address1811 Jamestown RdWilliamsburg, VA 23185-2326 · (757) 229-9991 · Fax (757) 229-9509
Fax(757) 229-9509
Organization SubpartNo
Authorized OfficialTiffany HobackManager · (770) 698-9040
Enumeration DateDecember 24, 2024
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1205644150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
1811 JAMESTOWN RD, Williamsburg, VA 23185

Other Names 1

Doing Business AsJamestown Health & Rehabilitation

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 49D0968766

1811 Jamestown Road Opco LLC · Williamsburg, VA
Active · expires Dec 20, 2027
CLIA Number49D0968766
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorSebastian W. Adams
Laboratory Phone(757) 229-9991
Laboratory Location1811 Jamestown Road Opco LLC1811 Jamestown Road, Williamsburg, VA 23185
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Skilled Nursing Facility
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Physical Therapy Assistant
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Occupational Therapist
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Occupational Therapy Assistant
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Occupational Therapist
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Occupational Therapist
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Occupational Therapy Assistant
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185
Occupational Therapy Assistant
1811 JAMESTOWN RD
WILLIAMSBURG, VA 23185

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 1811 Jamestown Road Opco LLC's NPI number?

The NPI number for 1811 Jamestown Road Opco LLC is 1205644150. It was assigned to this organization in the NPPES registry on December 24, 2024. The provider is doing business as Jamestown Health & Rehabilitation.

Where is 1811 Jamestown Road Opco LLC located?

1811 Jamestown Road Opco LLC is located at 1811 Jamestown Rd, Williamsburg, VA 23185. The listed phone number is (757) 229-9991.

What is 1811 Jamestown Road Opco LLC's specialty?

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

Does 1811 Jamestown Road Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0968766) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 1811 Jamestown Road Opco LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.