Heritage Hall - Tazewell

LBN: Tazewell Life Care, Llc
Heritage Hall - Tazewell is an health care organization with primary practice located at 282 Ben Bolt Ave , Tazewell VA 24651-5384. 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. Tazewell Life Care, Llc can be contacted via phone (276) 988-2515, or through Haines, James L via phone (540) 774-4263.

Contact Information

Primary practice address
282 Ben Bolt Ave Tazewell VA 24651-5384
Phone: (276) 988-2515
Fax: (276) 988-5468
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 NH2581

Profile Details

NPI number 1154813228
LBN Legal business name Tazewell Life Care, Llc
DBA Doing business as Heritage Hall - Tazewell
Authorized official Haines, James L JD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2018
Last updated Jun 4th, 2018 - 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 1154813228 NPPES
Other 200515601 FEDERAL BLACK LUNG
Other 418359 FEDERAL BLACK LUNG
Other 180511 FEDERAL BLACK LUNG
MEDICAID 4951522 FEDERAL BLACK LUNG

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