Heritage Hall - Blacksburg

LBN: Blacksburg Life Care. Llc
Heritage Hall - Blacksburg is an health care organization with primary practice located at 3610 S Main St , Blacksburg VA 24060. 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. Blacksburg Life Care. Llc can be contacted via phone (540) 951-7000, or through Haines, James L via phone (540) 774-4263.

Contact Information

Primary practice address
3610 S Main St Blacksburg VA 24060
Phone: (540) 951-7000
Fax: (540) 951-4109
Website:
Map and Directions
Authorized official contact:
Name: Haines, James L JD
Phone: (540) 774-4263

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2569 Virginia

Profile Details

NPI number 1265422646
LBN Legal business name Blacksburg Life Care. Llc
DBA Doing business as Heritage Hall - Blacksburg
Authorized official Haines, James L JD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 6th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265422646 NPPES
Virginia Other 180503 ANTHEM BCBS PROVIDER ID
Virginia Other 200515600 ANTHEM BCBS PROVIDER ID
Virginia MEDICAID 4953568 ANTHEM BCBS PROVIDER ID

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