# ALBEMARLE LIFECARE CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Hall Charlottesville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306836655
- **Authorized official:** MR. TED A LENEAVE (PRESIDENT/COO)
- **Authorized official phone:** (540) 774-4263

## Contact information

- **Practice address:** 505 RIO RD W, CHARLOTTESVILLE, VA 22901-1411
- **Practice address phone:** (434) 978-7015
- **Practice address fax:** (434) 974-7882
- **Mailing address:** 505 RIO RD W, CHARLOTTESVILLE, VA 22901-1411
- **Mailing address phone:** (434) 978-7015
- **Mailing address fax:** (434) 974-7882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2572 | VA | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 153707 | SOUTHERN HEALTH SVCS ID | VA |
| 01 | — | 227277 | ANTHEM BCBS PPO HMO ID | VA |
| 05 | — | 4951786 | — | VA |