BETH SHOLOM HOME OF EASTERN VIRGINIA (NPI# 1700863636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700863636 |
| Entity Type | Organization |
| Organization Name | BETH SHOLOM HOME OF EASTERN VIRGINIA |
| Practice Address |
6401 Auburn Dr Virginia Beach VA 23464-3601 |
| Practice Telephone | 7574202512 |
| Practice Fax Number | 7574240657 |
| Mailing Telephone | 7574202512 |
| Mailing Fax Number | 7574240657 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | MR. DAVID R ABRAHAM (VICE-PRESIDENT) |
| Authorized Official Telephone | 7574202512 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2504 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS | 215344 | 01 |
| VA | ANTHEM FOR DMERC | 335333 | 01 |
| VA | 4951867 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487963823 | Beth Sholom Home of Eastern Virginia | Skilled Nursing Facility | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2010-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Beth Sholom Home of Eastern Virginia | 6401 Auburn Drive, Virginia Beach, Virginia 23464 |
| Street Address |
6401 AUBURN DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955064 | Gabrielle Exum | Counselor | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2019-07-26 |
| 1811483654 | Bsv Transportation Co, LLC | Non-emergency Medical Transport (VAN) | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2018-07-05 |
| 1750875894 | Sherri G Hughes | Occupational Therapy Assistant | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2018-06-21 |
| 1336655166 | Jordan Hennessey | Occupational Therapy Assistant | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2017-12-15 |
| 1215442454 | Nakia Goodman | Occupational Therapy Assistant | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2017-12-11 |
| 1710406178 | Ashley Whitney | Physical Therapy Assistant | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2017-09-15 |
| 1972051357 | Generations Home Health, LLC | Home Health | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2016-09-14 |
| 1952753402 | Ashley Ivey | Physical Therapy Assistant | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2016-07-08 |
| 1407208192 | Nancy O'donnell | Physical Therapy Assistant | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2016-07-06 |
| 1659731370 | Jessica Leigh Williams | Occupational Therapist | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| 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 |
|---|---|---|---|---|
| 1184016024 | Princess Anne H&r Ops Limited Partnership | Skilled Nursing Facility | 1948 Landstown Centre Way, Virginia Beach, VA 23456-1624 | 2015-03-02 |
| 1043601552 | Cynthia Visconti | Skilled Nursing Facility | 1469 Stalls Way, Virginia Beach, VA 23453-8542 | 2015-02-05 |
| 1881094860 | Shekinah Glory LLC | Skilled Nursing Facility | 3805 Table Rock Ct, Virginia Beach, VA 23452-2829 | 2014-08-27 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1457434193 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 4142 Bonney Rd, Virginia Beach, VA 23452-1711 | 2006-10-24 |
| 1093898637 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 1148 First Colonial Rd, Virginia Beach, VA 23454-2426 | 2006-10-24 |
| 1740393966 | Medical Facilities of America Lvii | Skilled Nursing Facility | 1004 Independence Blvd, Virginia Beach, VA 23455-5503 | 2006-08-15 |
| 1235142522 | Oakwood Living Center of Virginia | Skilled Nursing Facility | 5520 Indian River Road, Virginia Beach, VA 23464-5217 | 2006-08-15 |
| 1194737437 | Medical Facilities of America Vi & Xiii | Skilled Nursing Facility | 1801 Camelot Dr, Virginia Beach, VA 23454-2401 | 2006-08-13 |
| 1689616351 | Healthlink of Virginia Shores, LLC | Skilled Nursing Facility | 340 Lynn Shores Dr, Virginia Beach, VA 23452-2416 | 2006-06-10 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
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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.