SHENANDOAH HOUSE AT AMC (NPI# 1851559876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851559876 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH HOUSE AT AMC |
| Practice Address |
111 North Campus Lane Fishersville VA 22939 |
| Practice Telephone | 5402457320 |
| Practice Fax Number | 5402457328 |
| Mailing Telephone | 5402457320 |
| Mailing Fax Number | 5402457328 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MR. DAVID E DEERING (COO) |
| Authorized Official Telephone | 5409324000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AHC COMMUNITY HEALTH FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1104076 | VA | Nursing & Custodial Care Facilities |
| Street Address |
111 NORTH CAMPUS LANE |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| 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 |
|---|---|---|---|---|
| 1538650197 | Melissa Lynne Green | Assisted Living Facility | 224 Fishersville Rd, Fishersville, VA 22939-2250 | 2018-05-19 |
| 1093151359 | Able Support Facilitators | Assisted Living Facility | 5 Stratford Dr Apt 113, Fishersville, VA 22939-2145 | 2013-05-14 |
| 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 | FISHERSVILLE |
| Zip Code | 22939 |
Please comment or provide details below to improve the information on SHENANDOAH HOUSE AT AMC.
| 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.