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BETH SHOLOM HOME OF VIRGINIA NPI 1548292170


NPI Information

NPI: 1548292170
Provider Name: BETH SHOLOM HOME OF VIRGINIA

Other Name: BETH SHOLOM HOME

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

CLIA Number: 49D0888700

Address:
1600 JOHN ROLFE PKWY
RICHMOND, VA
ZIP 23238
Phone: (804) 750-2183
Get Directions

BETH SHOLOM HOME OF VIRGINIA is a skilled nursing facility in Richmond, 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. BETH SHOLOM HOME OF VIRGINIA NPI is 1548292170. The provider is registered as an organization entity type.
The provider Other Name Is Beth Sholom Home.

The provider's business location address is:

1600 JOHN ROLFE PKWY
RICHMOND, VA
ZIP 23238-110
Phone: (804) 750-2183
Fax: (804) 750-1078

The provider's authorized official is John Vincent Bellotti .
The authorized official title is Cfo and has the following contact phone number (804) 421-5352.

The CLIA number assigned to this NPI record is 49D0888700 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 5/12/2008.


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 FacilityNH2503VIRGINIAYes

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
149-5291MEDICARE OSCAR/CERTIFICATIONVIRGINIA
2004952910MEDICAIDVIRGINIA
3216278OTHERVIRGINIAANTHEM PROVIDER #
40605910002MEDICARE NSCVIRGINIA

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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