ABINGDON HEALTH CARE LLC (NPI# 1710256920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710256920 |
| Entity Type | Organization |
| Organization Name | ABINGDON HEALTH CARE LLC |
| Practice Address |
15051 Harmony Hills Ln Abingdon VA 24211-7661 |
| Mailing Address |
5372 Fallowater Ln Ste 200 Roanoke VA 24018-0909 |
| Practice Telephone | 2764512590 |
| Practice Fax Number | 2764775633 |
| Mailing Telephone | 5407258910 |
| Mailing Fax Number | 5407258914 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | MRS. DEBORAH L PETRINE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5407258910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1710256920 | 05 | |
| ANTHEM MEDI-GAP | 476315 | 01 |
| Street Address |
15051 HARMONY HILLS LN |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417151051 | Heather Rose Hutchison | Speech-Language Pathologist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2007-06-14 |
| 1225652423 | Kate Ann Keith | Speech-Language Pathologist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2020-06-03 |
| 1760950323 | Bethany Lewis | Occupational Therapist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2018-11-12 |
| 1720553340 | Margaret Merrick | Occupational Therapist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2018-10-10 |
| 1073042800 | Virginia Pac Services PC | Hospitalist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2017-06-06 |
| 1477958205 | Kjerstin Wright | Physical Therapist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2014-10-22 |
| 1316359003 | Beth Morley | Nurse Practitioner | 15051 Harmony Hills Ln, Abingdon, VA 24211 | 2014-05-29 |
| 1073934394 | Bradley Shockley | Physical Therapist | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2014-01-05 |
| 1811329089 | Tiffany Dye | Occupational Therapy Assistant | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2013-07-30 |
| 1053753269 | Robert Wade Farmer | Occupational Therapy Assistant | 15051 Harmony Hills Ln, Abingdon, VA 24211-7661 | 2013-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1487140562 | Joshua Aaron Hess | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-07-02 |
| 1073005989 | Carl Thurman Harrison Jr. | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-06-06 |
| Find all providers in zip 24211 | ||||
| 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 |
|---|---|---|---|---|
| 1992796007 | Cedar Lawn Investments, LLC | Skilled Nursing Facility | 600 Walden Rd, Abingdon, VA 24210-2356 | 2005-10-31 |
| 1881680536 | Unlimited Development, Inc | Skilled Nursing Facility | 801 West Martin Street, Abingdon, IL 61410 | 2005-09-27 |
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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 |
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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.