Heritage Hall - Big Stone Gap
LBN: Big Stone Gap Life Care, Llc
Heritage Hall - Big Stone Gap is an health care organization with primary practice located at 2045 Valley View Dr E , Big Stone Gap VA 24219. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Big Stone Gap Life Care, Llc can be contacted via phone (276) 523-3000, or through Haines, James L via phone (540) 774-4263.
Contact Information
Primary practice address
2045 Valley View Dr E
Big Stone Gap VA 24219
Phone: (276) 523-3000
Fax: (276) 523-0531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH2568 | Virginia |
Profile Details
| NPI number | 1679563068 |
|---|---|
| LBN Legal business name | Big Stone Gap Life Care, Llc |
| DBA Doing business as | Heritage Hall - Big Stone Gap |
| Authorized official | Haines, James L JD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 6th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679563068 | NPPES |
| Virginia | Other | 200515602 | FEDERAL BLACK LUNG ID |
| Virginia | Other | 180506 | FEDERAL BLACK LUNG ID |
| Virginia | MEDICAID | 4951352 | FEDERAL BLACK LUNG ID |
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