Bon Secours Maryview Nursing Care Center Llc
LBN: Bon Secours Maryview Nursing Care Center Llc
Bon Secours Maryview Nursing Care Center Llc is an health care organization with primary practice located at 4775 Bridge Rd , Suffolk VA 23435-2045. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Bon Secours Maryview Nursing Care Center Llc can be contacted via phone (757) 686-0488, or through Ralston, Kimberly via phone (419) 996-5119.
Contact Information
Primary practice address
4775 Bridge Rd
Suffolk VA 23435-2045
Phone: (757) 686-0488
Fax: (757) 686-8211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | NH2511 | Virginia |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH2511 | Virginia |
Profile Details
| NPI number | 1124033980 |
|---|---|
| LBN Legal business name | Bon Secours Maryview Nursing Care Center Llc |
| DBA Doing business as | |
| Authorized official | Ralston, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Oct 22nd, 2020 - about 4 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 | 1124033980 | NPPES |
| Virginia | MEDICAID | 4952065 |
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