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GL VIRGINIA ELIZABETH HOUSE LLC NPI 1396289179


NPI Information

NPI: 1396289179
Provider Name: GL VIRGINIA ELIZABETH HOUSE, LLC

Doing Business As: ELIZABETH ADAM CRUMP HEALTH AND REHAB

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 49D0883619

Address:
3600 MOUNTAIN RD
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 672-8725
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GL VIRGINIA ELIZABETH HOUSE, LLC is a skilled nursing facility in Glen Allen, VA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. GL VIRGINIA ELIZABETH HOUSE, LLC NPI is 1396289179. The provider is registered as an organization entity type.
The provider Is Doing Business As Elizabeth Adam Crump Health And Rehab.

The provider's business location address is:

3600 MOUNTAIN RD
GLEN ALLEN, VA
ZIP 23060-930
Phone: (804) 672-8725
Fax: (804) 755-6863

The provider's authorized official is David Rubenstein .
The authorized official title is Paralegal and has the following contact phone number (404) 786-8528.

The CLIA number assigned to this NPI record is 49D0883619 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing FacilityVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1495299MEDICARE OSCAR/CERTIFICATIONVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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