Heritage Hall Grundy

LBN: Grundy Life Care Corp
Heritage Hall Grundy is an health care organization with primary practice located at Rr 5 Box 104 , Grundy VA 24614-9504. 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. Grundy Life Care Corp can be contacted via phone (276) 935-8144, or through Haines, James via phone (540) 774-4263.

Contact Information

Primary practice address
Rr 5 Box 104 Grundy VA 24614-9504
Fax: (276) 935-2316
Website:
Authorized official contact:
Name: Haines, James J.D.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2576 Virginia

Profile Details

NPI number 1912997594
LBN Legal business name Grundy Life Care Corp
DBA Doing business as Heritage Hall Grundy
Authorized official Haines, James J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Apr 1st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912997594 NPPES
Virginia Other 227207 ANTHEM BCBS PPO ID
Virginia MEDICAID 4952596 ANTHEM BCBS PPO ID
Virginia Other 070928800 ANTHEM BCBS PPO ID

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