CENTRA PACE- GRETNA
NPI 1972969871
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Gretna, VA

NPI Status: Active since January 07, 2016

Contact Information

1220 W GRETNA RD
GRETNA, VA
ZIP 24557
Phone: (434) 200-7000

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  • Organization
  • Program of All-Inclusive Care for the El...
  • CLIA Number: 49D2109696
  • CLIA Cert. Type: Other - PACE PROGRAM
  • CLIA Exp. Date: 02-29-2028

About CENTRA PACE- GRETNA

This page provides the complete NPI Profile along with additional information for Centra Pace- Gretna, a provider established in Gretna, Virginia operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1972969871 assigned on January 2016. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is George C Graham Mba (Executive Director)

NPI
1972969871
Provider Name
CENTRA PACE- GRETNA
Entity Type
Organization
Location Address
1220 W GRETNA RD GRETNA, VA 24557
Location Phone
(434) 200-7000
Mailing Address
PO BOX 498 GRETNA, VA 24557
Mailing Phone
(434) 200-7000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-07-2016
Last Update Date
01-07-2016
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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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

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

GEORGE C GRAHAM MBA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(434) 200-7000

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
49D2109696
Facility Type
Other - PACE PROGRAM
Certificate Effective Date
March 01, 2026
Certificate Expiration Date
February 29, 2028
Laboratory Director
KRYSTLE LEWIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centra Pace- Gretna 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.

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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 1972969871, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 8 + 6 + 1 + 8 + 8 + 1 + 4 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972969871.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1220 W GRETNA RD
GRETNA, VA 24557
Family Medicine
1220 W GRETNA RD
GRETNA, VA 24557
Physical Therapy Assistant
1220 W GRETNA RD
GRETNA, VA 24557
Family Medicine
1220 W GRETNA RD
GRETNA, VA 24557
Physician Assistant
1220 W GRETNA RD
GRETNA, VA 24557
Physical Therapist
1220 W GRETNA RD
GRETNA, VA 24557
Physical Therapist
1220 W GRETNA RD
GRETNA, VA 24557
Physical Therapist (Ergonomics)
1220 W GRETNA RD
GRETNA, VA 24557

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972969871, enumerated as an "organization" on January 07, 2016.

The provider is located at 1220 W GRETNA RD GRETNA, VA 24557 and the phone number is (434) 200-7000.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.