BULLOCK CORPORATION (NPI# 1396296638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396296638 |
Entity Type | Organization |
Organization Name | BULLOCK CORPORATION |
Other Organization Name | MECKLENBURG HOUSE |
Practice Address |
8535 Highway One South Hill VA 23970-5713 |
Mailing Address |
Po Box 249 Warsaw VA 22572-0249 |
Practice Telephone | 4346892291 |
Mailing Telephone | 8043331590 |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |
Authorized Official Name | CATHERINE B BIRLEY (PRESIDENT) |
Authorized Official Telephone | 8043331590 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | ALF-14-22551 | VA | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Mecklenburg House | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | BULLOCK CORPORATION | Po Box 249, Warsaw, Virginia 22572 |
Street Address |
8535 HIGHWAY ONE |
City | SOUTH HILL |
State | VA |
Zip Code | 23970-5713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
Find all providers in zip 23970 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547425 | Noble Senior Living At Culpepper | Assisted Living Facility | 215 Southridge Pkwy, Culpeper, VA 22701-3762 | 2020-10-28 |
1902405566 | Noble Senior Living At Warrenton LLC | Assisted Living Facility | 239 Alexandria Pike, Warrenton, VA 20186-2947 | 2020-10-23 |
1083238950 | Hcp Falls Church Va Opco, LLC | Assisted Living Facility | 330 N Washington St, Falls Church, VA 22046-3431 | 2020-06-05 |
1316567761 | Care Oasis Assisted Living Providers LLC | Assisted Living Facility | 21573 Green Spring Rd, Abingdon, VA 24211-5847 | 2020-04-25 |
1316566417 | Eugene H. Bloom Retirement Center | Assisted Living Facility | 308 Weaver Ave, Emporia, VA 23847-1232 | 2020-04-09 |
1912533449 | Ariel Safe Haven Assisted Living, LLC | Assisted Living Facility | 9607 Leavells Rd, Fredericksburg, VA 22407-4313 | 2020-03-16 |
1659935880 | Silverlion Prince William Commons, LLC | Assisted Living Facility | 14080 Central Loop, Woodbridge, VA 22193-1438 | 2019-04-23 |
1306315627 | Dawn Coker | Assisted Living Facility | 18321 Nob Hill Dr, Triangle, VA 22172-1303 | 2018-11-15 |
1508341231 | Pamela Sonia Bynum-doles | Assisted Living Facility | 716 W 2nd Ave, Franklin, VA 23851-2102 | 2018-09-27 |
1053897413 | Brightview Residential Care | Assisted Living Facility | 1106 Snead Pl, Herndon, VA 20170-3500 | 2018-07-18 |
Find all providers with the same taxonomy |
City | SOUTH HILL |
Zip Code | 23970 |
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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.