SNOWSHOE LTC GROUP, LLC (NPI# 1265463566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265463566 |
| Entity Type | Organization |
| Organization Name | SNOWSHOE LTC GROUP, LLC |
| Other Organization Name | WAYLAND NURSING AND REHABILITATION CENTER |
| Practice Address |
730 Lunenburg Highway Keysville VA 23947 |
| Mailing Address |
Po Box 719 Keysville VA 23947-0719 |
| Practice Telephone | 4347368406 |
| Practice Fax Number | 4347369334 |
| Mailing Telephone | 4347368406 |
| Mailing Fax Number | 4347369334 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | MS. KAREN G MCDANIEL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
NH2522 | VA | Ambulatory Health Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH2522 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS | 227057 | 01 |
| VA | 4952260 | 05 |
| Other Name | Type Code |
|---|---|
| Wayland Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861504946 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 1349 Crabtree Rd, Waynesville, NC 28785-7315 | 2006-08-31 |
| 1619908977 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2006-07-05 |
| 1326074048 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2006-06-24 |
| 1811923931 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2006-06-23 |
| 1144405804 | Snowshoe Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2007-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Snowshoe LTC Group, LLC | 1435 Hwy 258 N , Kinston, NC 28504-7208 |
| Virginia Business Entity | Snowshoe LTC Group, LLC | 1435 HWY 258 N PO BOX 6159, KINSTON, NC 28501 |
| Street Address |
730 LUNENBURG HIGHWAY |
| City | KEYSVILLE |
| State | VA |
| Zip Code | 23947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194988550 | Marla Renise Chandler-glass | Physical Therapy Assistant | 730 Lunenburg Highway, Keysville, VA 23947 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679139166 | Venetia Arvin | Case Management | 117 Arvin St, Keysville, VA 23947 | 2019-05-10 |
| 1700366523 | Pradeepika Samagh | Physical Therapist | 730 Lunenburg County Rd, Keysville, Va 23947, Keysville, VA 23947 | 2018-08-21 |
| 1477945574 | Sisler Counseling Services LLC | Community/Behavioral Health | 222 King Street, Keysville, VA 23947 | 2015-02-26 |
| 1194860536 | Billy Maurice Rutherford | Dentist | 126 J St, Keysville, VA 23947 | 2007-02-21 |
| 1326113184 | Michael Axton Campbell | Dentist | 126 J Street, Keysville, VA 23947 | 2006-11-21 |
| 1265434831 | Janette Ann Ammalingan Mamuric | Pediatrics | 130 J St, Keysville, VA 23947 | 2005-08-12 |
| 1831754548 | Keysville Chiropractic Wellness Center | Chiropractor | 176 King St, Keysville, VA 23947 | 2019-05-08 |
| 1821267113 | Matthew M. Schrier | Chiropractor | 176 King Street, Keysville, VA 23947 | 2008-02-21 |
| 1245688738 | Sara Butkovich | Chiropractor | 176 King St, Keysville, VA 23947-0024 | 2016-05-25 |
| 1891334199 | Jerry M Lawrence | Non-emergency Medical Transport (VAN) | 21 Pine Rd, Keysville, VA 23947-2018 | 2020-01-03 |
| Find all providers in zip 23947 | ||||
| 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 |
|---|---|---|---|---|
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1174514160 | Keysville Nursing Home & Rehabilitation Center | Skilled Nursing Facility | 1005 Highway 88 North, Keysville, GA 30816 | 2005-10-31 |
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|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 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 |
| 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.