PATRICK HENRY HOSPITAL, INC. (NPI# 1225143498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225143498 |
| Entity Type | Organization |
| Organization Name | PATRICK HENRY HOSPITAL, INC. |
| Other Organization Name | RIVERSIDE CONVALESCENT CENTER, SALUDA |
| Practice Address |
672 Gloucester Rd Saluda VA 23149 |
| Mailing Address |
608 Denbigh Blvd Suite 600 Newport News VA 23608-4410 |
| Practice Telephone | 8047582363 |
| Practice Fax Number | 8047583857 |
| Mailing Telephone | 7578752023 |
| Mailing Fax Number | 7578752016 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | MR. DAVID TATE (SENIOR VP, LTC) |
| Authorized Official Telephone | 7578752050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
49E185 | VA | Suppliers |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 49E185 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverside Convalescent Center, Saluda | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740388560 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1010 Old Denbigh Blvd, Newport News, VA 23602-2017 | 2006-09-20 |
| 1255448379 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 603 Main St., Mathews, VA 23109 | 2006-08-24 |
| 1205942703 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 20 Delfae Dr, Warsaw, VA 22572-4281 | 2006-08-21 |
| 1588779193 | Patrick Henry Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 200 Lumar Rd, Smithfield, VA 23430-1521 | 2006-08-21 |
| 1629184072 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 3435 John Tyler Hwy, Building 2, Suite A, Williamsburg, VA 23185-1457 | 2006-08-21 |
| 1194830703 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2960 Chelsea Rd, West Point, VA 23181-9793 | 2006-08-21 |
| Street Address |
672 GLOUCESTER RD |
| City | SALUDA |
| State | VA |
| Zip Code | 23149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881092708 | Karen Grabowski | Counselor | 129 Bowden St., Saluda, VA 23149 | 2014-12-09 |
| 1750704698 | Danielle Carter | Counselor | 129 Bowden St, Saluda, VA 23149 | 2014-01-29 |
| 1760685796 | Darryl John Pirok | Dentist | 247 Gloucester Road, Saluda, VA 23149 | 2007-06-07 |
| 1346312386 | Ricardo Davila | Dentist | 2845 General Puller Hwy, Salva, VA 23149 | 2006-11-14 |
| 1053339614 | Riverside Physician Services Inc | Family Medicine | 672 Gloucester Road, Saluda, VA 23149 | 2006-07-18 |
| 1851362370 | Carla L King | Pediatrics | 3076 General Puller Highway, Saluda, VA 23149 | 2006-02-01 |
| 1821499609 | Melissa South | Social Worker | 129 Bowden St, Saluda, VA 23149 | 2014-09-11 |
| 1205252053 | Debra Watson | Radiologic Technologist | 1201 Broad Rock Blvd, Richmond, VA 23149 | 2014-03-17 |
| 1336264555 | Gar Wing Tsang | Occupational Therapist | 1201 Broad Rock Blvd, Richmond, VA 23149 | 2007-03-20 |
| 1063513158 | Middlesex County Public Schools | Local Education Agency (LEA) | 2911 General Puller Hwy, Saluda, VA 23149-0205 | 2006-09-25 |
| Find all providers in zip 23149 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
| 1154592418 | Autumn Corporation | Nursing Facility/Intermediate Care Facility | 501 Esseola Dr, Saluda, NC 28773-8821 | 2008-03-14 |
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| 1518160191 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 19508 Mccray Dr, Abingdon, VA 24211-6838 | 2007-06-09 |
| 1457561003 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 23610 North St, Onancock, VA 23417-2024 | 2007-05-23 |
| 1154535334 | Powhatan Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
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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.