Dockside Health & Rehab Center

LBN: Mizpah Healthcare Group Llc
Dockside Health & Rehab Center is an health care organization with primary practice located at 74 Mizpah Road , Locust Hill VA 23092. 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. Mizpah Healthcare Group Llc can be contacted via phone (804) 758-5260, or through Weisberg, William I via phone (216) 292-5706.

Contact Information

Primary practice address
74 Mizpah Road Locust Hill VA 23092
Phone: (804) 758-5260
Fax: (804) 758-0953
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I
Phone: (216) 292-5706

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2632 Virginia

Profile Details

NPI number 1497135727
LBN Legal business name Mizpah Healthcare Group Llc
DBA Doing business as Dockside Health & Rehab Center
Authorized official Weisberg, William I
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2015
Last updated Jan 10th, 2022 - about 3 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 1497135727 NPPES
Virginia MEDICAID 1497135727

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