Blue Ridge Care & Rehabilitation Center

LBN: Hqm Of Charlestown, Llc
Blue Ridge Care & Rehabilitation Center is an health care organization with primary practice located at 1263 S George St , Charles Town WV 25414-4384. 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. Hqm Of Charlestown, Llc can be contacted via phone (304) 725-6575, or through Walczak, Paul via phone (561) 627-0664.

Contact Information

Primary practice address
1263 S George St Charles Town WV 25414-4384
Phone: (304) 725-6575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walczak, Paul
Phone: (561) 627-0664

Health care specialties

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

Profile Details

NPI number 1528091055
LBN Legal business name Hqm Of Charlestown, Llc
DBA Doing business as Blue Ridge Care & Rehabilitation Center
Authorized official Walczak, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1528091055 NPPES
West Virginia MEDICAID 1001000-000

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