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VIRGINIA VETERANS CARE CENTER NPI 1730187048


NPI Information

NPI: 1730187048
Provider Name: VIRGINIA VETERANS CARE CENTER
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 49D1023002

Address:
4550 SHENANDOAH AVE NW
ROANOKE, VA
ZIP 24017
Phone: (540) 982-2860
Get Directions

VIRGINIA VETERANS CARE CENTER is a skilled nursing facility in Roanoke, 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. VIRGINIA VETERANS CARE CENTER NPI is 1730187048. The provider is registered as an organization entity type.

The provider's business location address is:

4550 SHENANDOAH AVE NW
ROANOKE, VA
ZIP 24017-749
Phone: (540) 982-2860
Fax: (540) 982-8667

The provider's authorized official is William Van Thiel .
The authorized official title is Administrator and has the following contact phone number (540) 982-2860.

The CLIA number assigned to this NPI record is 49D1023002 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 11/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing FacilityNH2711VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1495274MEDICARE 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: 4/28/2024

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