SUNNYSIDE PRESBYTERIAN HOME (NPI# 1366431652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366431652 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE PRESBYTERIAN HOME |
| Other Organization Name | KING'S GRANT |
| Practice Address |
350 Kings Way Rd Martinsville VA 24112-6631 |
| Mailing Address |
600 University Blvd Harrisonburg VA 22801-3763 |
| Practice Telephone | 2766341000 |
| Practice Fax Number | 2766341599 |
| Mailing Telephone | 5405688237 |
| Mailing Fax Number | 5405688248 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | MR. PAUL WHITE (CONTROLLER) |
| Authorized Official Telephone | 5405688237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | RO05417 | VA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH2602 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4954081 | 05 |
| Other Name | Type Code |
|---|---|
| King's Grant | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1518956911 | Sunnyside Presbyterian Home | Assisted Living Facility | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2005-10-18 |
| 1902949738 | Sunnyside Presbyterian Home | Pharmacy | 3935 Sunnyside Dr, Suite A, Harrisonburg, VA 22801-2328 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SUNNYSIDE PRESBYTERIAN HOME | 600 University Blvd Ste L, Harrisonburg, Virginia 22801-3763 |
| Street Address |
350 KINGS WAY RD |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073043725 | Morgan Turner | Speech-Language Pathologist | 350 Kings Way Rd, Martinsville, VA 24112-6631 | 2017-06-15 |
| 1891246609 | Hudson Mcewen Dunn | Physical Therapist | 350 Kings Way Rd, Martinsville, VA 24112-6631 | 2016-10-17 |
| 1265669717 | Shannon Joyce Quigg | Physical Therapy Assistant | 350 Kings Way Rd, Martinsville, VA 24112-6631 | 2009-06-11 |
| 1518085547 | Amy Mays Seidle | Physical Therapy Assistant | 350 Kings Way Rd, Martinsville, VA 24112-6631 | 2007-03-27 |
| 1265550867 | Erica Elizabeth Sule | Physical Therapist | 350 Kings Way Rd, Martinsville, VA 24112-6631 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| 1013926823 | Witham Memorial Hospital | Skilled Nursing Facility | 621 Grand Valley Blvd, Martinsville, IN 46151-5875 | 2006-08-08 |
| 1720026180 | Putnam County Hospital | Skilled Nursing Facility | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2006-06-04 |
| 1003868423 | Ggnsc Martinsville LLC | Skilled Nursing Facility | 1607 Spruce St, Martinsville, VA 24112-5437 | 2006-05-16 |
| 1265435333 | Blue Ridge Nursing Center of Martinsville and Henry County Inc. | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2005-05-23 |
| 1194361949 | Afs of Martinsville, Inc. | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2019-11-26 |
| 1770027542 | Gl Virginia Martinsville, LLC | Skilled Nursing Facility | 1607 Spruce Street Ext, Martinsville, VA 24112-5814 | 2016-12-13 |
| 1851777130 | Brnursco LLC | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2015-08-10 |
| 1770806291 | Broc LLC | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2010-03-11 |
| 1801064910 | Mainstreet Senior II, LLC | Skilled Nursing Facility | 1959 E Columbus St, Martinsville, IN 46151-1857 | 2008-02-12 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.