DILLWYN LIFE CARE, LLC (NPI# 1144211251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144211251 |
| Entity Type | Organization |
| Organization Name | DILLWYN LIFE CARE, LLC |
| Other Organization Name | HERITAGE HALL - DILLWYN |
| Practice Address |
119 Brickyard Dr Dillwyn VA 23936 |
| Mailing Address |
3131 Electric Rd Roanoke VA 24018-6427 |
| Practice Telephone | 5407744263 |
| Practice Fax Number | 5407740780 |
| Mailing Telephone | 5407744263 |
| Mailing Fax Number | 5407740780 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-07-06 |
| Authorized Official Name | MR. JAMES L HAINES (CCO & GENERAL COUNSEL) |
| Authorized Official Telephone | 5407744263 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2574 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4953177 | 05 | |
| VA | ANTHEM BCBS PROVIDER ID | 180507 | 01 |
| VA | FEDERAL BLACK LUNG ID | 200515609 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Hall - Dillwyn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813160 | Dillwyn Life Care, LLC | Skilled Nursing Facility | 119 Brickyard Dr, Dillwyn, VA 23936-3362 | 2018-06-05 |
| Street Address |
119 BRICKYARD DR |
| City | DILLWYN |
| State | VA |
| Zip Code | 23936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813160 | Dillwyn Life Care, LLC | Skilled Nursing Facility | 119 Brickyard Dr, Dillwyn, VA 23936-3362 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134478340 | Family Preservation Services, Inc | Community/Behavioral Health | 40 Frank Harris Road, Dillwyn, VA 23936 | 2012-09-04 |
| 1093064404 | Family Preservation Services, Inc | Community/Behavioral Health | 128 Frank Harris Road, Dillwyn, VA 23936 | 2012-08-30 |
| 1619226214 | Family Preservation Services, Inc | Community/Behavioral Health | 5267 Old Nottoway Road, Crewe, VA 23936 | 2012-08-29 |
| 1164721791 | Paige Nolt | Social Worker | 1046 Main Street, Dillwyn, VA 23936 | 2011-03-22 |
| 1720242506 | Roger Spivey | Pharmacist | 1010 Andersonville Road, Dillwyn, VA 23936 | 2008-07-11 |
| 1639340615 | Buckingham County Volunteer Rescue Squad, Inc. | Ambulance | 222 Wingo Road, Dillwyn, VA 23936 | 2008-03-18 |
| 1114048238 | Naseer Ahmad Mobashar | General Practice | Buckingham Correctional Center, Route 20, Dillwyn, VA 23936 | 2007-04-03 |
| 1437201118 | Mattowler Inc. | Pharmacy | 1054 Main St, Dillwyn, VA 23936 | 2007-01-16 |
| 1962460139 | Kathleen B. Seiler | Dentist | 15911 N Madison Highway, Suite 1, Dillwyn, VA 23936 | 2006-05-03 |
| 1386144020 | Matthew Rowe Browning | Counselor | 1046 Main Street, Dillwyn, VA 23936 | 2018-02-20 |
| Find all providers in zip 23936 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813160 | Dillwyn Life Care, LLC | Skilled Nursing Facility | 119 Brickyard Dr, Dillwyn, VA 23936-3362 | 2018-06-05 |
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| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.