SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC – Skilled Nursing Facility, NPI 1417956673

SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC is a healthcare provider. based in Virginia beach, Virginia. specializing in Skilled Nursing Facility. The organization holds a License No. ERO 03-176 (VA). The NPI Number for SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC is 1417956673

Main info

Organization
Name
SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC
NPI
1417956673
Phone
(757) 716-2060
Address
1200 ATLANTIC SHORES DR
Authorized Official
BRENDA L ROSENBAUGH MEDICAL BILLING SUPERVISOR
Enumeration Date
20 July 2005
Last Update Date
24 October 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC

  • 1200 ATLANTIC SHORES DR

    VIRGINIA BEACH, VA 234547311

    Phone: (757) 716-2060

    Fax: (757) 716-2019

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111209000069OSkilled Nursing FacilityVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23454)

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Reviews

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Frequently asked questions

Does SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC uses 1417956673.
Can I rely on SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC being an active provider?
As of the registry snapshot, SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC is marked active.
What is SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC best known for clinically?
Directory data describes SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where is SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC based?
SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES, LLC is tied to Virginia Beach, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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