HERITAGE HALL - LEESBURG
NPI 1548752629
Skilled Nursing Facility in Leesburg, VA

Active since June 04, 2018CLIA 49D0707456 · Waiver
4/5
Overall Rating
122 MORVEN PARK RD NW, LEESBURG, VA 20176(703) 777-8700(703) 777-1532 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Hall - Leesburg NPPES

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

HERITAGE HALL - LEESBURG (NPI 1548752629) is a healthcare organization registered as a skilled nursing facility in Leesburg, Virginia and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cassandra Gallant, Compliance & Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1548752629
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEESBURG LIFE CARE, LLC
Location Address122 MORVEN PARK RD NWLeesburg, VA 20176-2024
Mailing Address122 Morven Park Rd NwLeesburg, VA 20176-2024 · (703) 777-8700 · Fax (703) 777-1532
Fax(703) 777-1532
Organization SubpartNo
Authorized OfficialCassandra GallantCompliance & Privacy Officer · (540) 774-4263
Enumeration DateJune 4, 2018
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1548752629 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.
122 MORVEN PARK RD NW, Leesburg, VA 20176

Other Names 1

Doing Business AsHeritage Hall - Leesburg

Other Identifiers 3

Other200515604Federal Black Lung
Medicaid4952618VA
Other180509Anthem Bcbs

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 49D0707456

Leesburg Life Care LLC Dba Heritage Hall - Leesburg · Leesburg, VA
Active · expires Aug 31, 2026
CLIA Number49D0707456
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJeremy L. Nettin
Laboratory Phone(703) 777-8700
Laboratory LocationLeesburg Life Care LLC Dba Heritage Hall - Leesburg122 Morven Park Rd NW, Leesburg, VA 20176
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 Heritage Hall-Leesburg (CMS certification number 495261), from CMS Care Compare.

Heritage Hall-Leesburg

Nursing home · Leesburg, VA
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number495261
Certified Beds164 beds148 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
24
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

Administrators Who Have Left
In the past year.
3
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 5

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

Nurse Practitioner (Family)
122 MORVEN PARK RD NW
LEESBURG, VA 20176
Speech-Language Pathologist
122 MORVEN PARK RD NW
LEESBURG, VA 20176
Internal Medicine
122 MORVEN PARK RD NW
LEESBURG, VA 20176
Speech-Language Pathologist
122 MORVEN PARK RD NW
LEESBURG, VA 20176
Skilled Nursing Facility
122 MORVEN PARK RD NW
LEESBURG, VA 20176

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 Leesburg Life Care, LLC's NPI number?

The NPI number for Leesburg Life Care, LLC is 1548752629. It was assigned to this organization in the NPPES registry on June 4, 2018. The provider is doing business as Heritage Hall - Leesburg.

Where is Leesburg Life Care, LLC located?

Leesburg Life Care, LLC is located at 122 Morven Park Rd NW, Leesburg, VA 20176. The listed phone number is (703) 777-8700.

What is Leesburg Life Care, LLC's specialty?

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

Does Leesburg Life Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0707456) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Leesburg Life Care, LLC a Medicare-certified nursing home?

Yes. Heritage Hall-Leesburg is a Medicare-certified nursing home with 164 certified beds.

What quality rating does Leesburg Life Care, LLC have?

CMS rates Heritage Hall-Leesburg 4 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 Leesburg Life Care, LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.