MASONIC HOME OF VIRGINIA (NPI# 1558677658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558677658 |
| Entity Type | Organization |
| Organization Name | MASONIC HOME OF VIRGINIA |
| Practice Address |
4101 Nine Mile Rd Richmond VA 23223-4956 |
| Practice Telephone | 8042221694 |
| Practice Fax Number | 8042264567 |
| Mailing Telephone | 8042221694 |
| Mailing Fax Number | 8042264567 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | MR. JAMES D COLE (CEO) |
| Authorized Official Telephone | 8042221694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2628 | VA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MASONIC HOME OF VIRGINIA | Po Box 7866, Henrico, Virginia 23231 |
| Street Address |
4101 NINE MILE RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962535930 | Jaclyn S Monteiro | Occupational Therapist | 4101 Nine Mile Rd, Richmond, VA 23223-4916 | 2007-03-13 |
| 1013201680 | Shereeta Mclane | Physical Therapist | 4101 Nine Mile Rd, Richmond, VA 23223-4956 | 2011-06-01 |
| 1821232307 | Melanie L. Bailey | Speech-Language Pathologist | 4101 Nine Mile Rd, Richmond, VA 23223-4956 | 2009-04-28 |
| 1043343510 | Mary Young Lipscombe | Physical Therapist | 4101 Nine Mile Rd, Richmond, VA 23223-4916 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962843805 | Caring Hands Facilitators | Nursing Facility/Intermediate Care Facility | 1600 Selma Pl, Richmond, VA 23223-1281 | 2013-07-08 |
| 1346590593 | Mobil Outreach Clinic | Nursing Facility/Intermediate Care Facility | 3922 Crestwind Ln, Richmond, TX 77407-3220 | 2012-09-14 |
| 1629387022 | M&k Healthcare Services | Nursing Facility/Intermediate Care Facility | 7015 Garnet Lake Ct, Richmond, TX 77407-7160 | 2010-10-02 |
| 1447491394 | Lakewood Manor Baptist Retirement Community | Nursing Facility/Intermediate Care Facility | 1900 Lauderdale Dr, Richmond, VA 23238-3902 | 2009-03-23 |
| 1821109117 | The Laurels of University Park, LLC | Nursing Facility/Intermediate Care Facility | 2420 Pemberton Rd, Richmond, VA 23233-2006 | 2006-08-31 |
| 1669432951 | The Virginia Home | Nursing Facility/Intermediate Care Facility | 1101 Hampton St, Richmond, VA 23220-6605 | 2006-03-23 |
| 1558351452 | Little Sisters of The Poor In Richmond Virginia | Nursing Facility/Intermediate Care Facility | 1503 Michael Rd, Richmond, VA 23229-4822 | 2005-10-24 |
| 1811154156 | Kaiser Permanente | Nursing Facility/Intermediate Care Facility | 901 Nevin Ave, Richmond, CA 94801-3143 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594854 | Leibovici Health Care LLC | Nursing Facility/Intermediate Care Facility | 421 Van Wyck Mews, Norfolk, VA 23517-2129 | 2015-12-24 |
| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1699111864 | Able Support Facilitators | Nursing Facility/Intermediate Care Facility | 5 Stratford Dr, 113, Fishersville, VA 22939-2145 | 2013-05-15 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1376784488 | The Glebe, Inc. | Nursing Facility/Intermediate Care Facility | 200 The Glebe Blvd, Daleville, VA 24083-3722 | 2009-03-19 |
| 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 |
| 1205055381 | Crc Health | Nursing Facility/Intermediate Care Facility | 2970 Baptist Valley Rd, Cedar Bluff, VA 24609-8654 | 2007-04-25 |
| 1033244249 | Nahid Ghassemi | Nursing Facility/Intermediate Care Facility | 10130b Colvin Run Rd., Great Falls, VA 22066 | 2007-02-21 |
| 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.