SENTARA SENIOR COMMUNITY CARE (PACE)
NPI 1619968112
Custodial Care Facility in Virginia Beach, VA

NPI Status: Active since November 03, 2005

Contact Information

665 NEWTOWN RD
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 502-7800
Fax: (757) 502-7801

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  • Organization
  • Custodial Care Facility
  • CLIA Number: 49D1056136
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 07-06-2026

About SENTARA SENIOR COMMUNITY CARE (PACE)

This page provides the complete NPI Profile along with additional information for Sentara Senior Community Care (pace), a provider established in Virginia Beach, Virginia operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1619968112 assigned on November 2005. The practitioner's primary taxonomy code is 311Z00000X with license number ELO 2004-249 (VA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Sentara Senior Community Care (pace). The authorized official of this NPI record is Bruce Robertson (Vice President Sentara Life Care)

NPI
1619968112
Provider Legal Name
SENTARA LIFE CARE CORPORATION
Other Organization Name
SENTARA SENIOR COMMUNITY CARE (PACE)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
665 NEWTOWN RD VIRGINIA BEACH, VA 23462
Location Phone
(757) 502-7800
Location Fax
(757) 502-7801
Mailing Address
251 S NEWTOWN RD NORFOLK, VA 23502
Mailing Phone
(757) 892-5400
Mailing Fax
(757) 502-7801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2005
Last Update Date
04-08-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
License No.
ELO 2004-249
License State
VA
Taxonomy Description
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRUCE ROBERTSON

Authorized Official Title
VICE PRESIDENT SENTARA LIFE CARE
Authorized Official Phone
(757) 892-5400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1056136
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
July 07, 2024
Certificate Expiration Date
July 06, 2026
Laboratory Director
CYNTHIA M. GONZALEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sentara Senior Community Care (pace) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SENTARA SENIOR COMMUNITY CARE (PACE)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619968112, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 8 + 6 + 1 + 6 + 1 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1619968112.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot Surgery)
665 NEWTOWN RD
VIRGINIA BEACH, VA 23462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619968112, enumerated as an "organization" on November 03, 2005.

The provider is located at 665 NEWTOWN RD VIRGINIA BEACH, VA 23462 and the phone number is (757) 502-7800.

Custodial Care Facility with taxonomy code 311Z00000X.