Lake Manassas Snf LLC
NPI 1578137725 · Skilled Nursing Facility · Gainesville, VA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Manassas Snf LLC is a Skilled Nursing Facility organization in Gainesville, VA (NPI 1578137725).
Provider details
- NPI number
- 1578137725
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Gannon, Administrator(703) 743-3999
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Manassas Health & Rehabilitation Center
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Frequently asked questions
- What is Lake Manassas Snf LLC's NPI number?
- Lake Manassas Snf LLC's National Provider Identifier (NPI) is 1578137725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Manassas Snf LLC?
- Lake Manassas Snf LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Manassas Snf LLC located?
- Lake Manassas Snf LLC's practice location on file with NPPES is 14935 Holly Knoll Ln, Gainesville, VA 20155-4899.
- What is Lake Manassas Snf LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Manassas Snf LLC is (703) 743-3999.
- Does Lake Manassas Snf LLC accept Medicare?
- Lake Manassas Snf LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Manassas Snf LLC?
- The authorized official listed on Lake Manassas Snf LLC's NPPES record is Amanda Gannon, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Manassas Snf LLC's NPI active?
- Yes — Lake Manassas Snf LLC's NPI (1578137725) is active in the NPPES registry as of the last update on 2021-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.